Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03523 | Date 02/12/2019 |
| Token No | SM/19-20/7798 02/12/2019 | Serial | 003 |
| Patient Name | Mrs. APARNA DEY | Contact No | 9836030919 |
| Address | 62 DEY ST | Age | 53 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||