Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03667 | Date 03/01/2020 |
| Token No | SM/19-20/8220 03/01/2020 | Serial | 018 |
| Patient Name | Mrs. APARNA DASGUPTA | Contact No | 9433669875 |
| Address | GHOSH PARA | Age | 51 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||