Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03680 | Date 06/01/2020 |
| Token No | SM/19-20/8242 06/01/2020 | Serial | 011 |
| Patient Name | Mrs. SUCHISMITA DASGUPTA | Contact No | 8005848650 |
| Address | BECHU DEY LANE | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||