Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03700 | Date 07/01/2020 |
| Token No | SM/19-20/8289 07/01/2020 | Serial | 020 |
| Patient Name | Mrs. DHRUBOJYOTI DHAR | Contact No | 8007598460 |
| Address | PRAVAS NAGAR | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||