Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03679 | Date 06/01/2020 |
| Token No | SM/19-20/8241 06/01/2020 | Serial | 010 |
| Patient Name | Mrs. SUSMITA DEY | Contact No | 9830908454 |
| Address | 1/I/2 PRAVAS NAGAR | Age | 39 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||