Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03686 | Date 06/01/2020 |
| Token No | SM/19-20/8251 06/01/2020 | Serial | 020 |
| Patient Name | Mrs. SABITA MAKAL | Contact No | 9038925640 |
| Address | 8 BROJO DUTTA LANE | Age | 47 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||