Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03573 | Date 06/12/2019 |
| Token No | SM/19-20/7920 06/12/2019 | Serial | 034 |
| Patient Name | Mrs. RIYA DUTTA | Contact No | 9836248773 |
| Address | 537D G.T,ROAD | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||