Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03527 | Date 02/12/2019 |
| Token No | SM/19-20/7811 02/12/2019 | Serial | 016 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 9830290425 |
| Address | 18A J.N.LAHIRI ROAD | Age | 53 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||