Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03703 | Date 07/01/2020 |
| Token No | SM/19-20/8292 07/01/2020 | Serial | 023 |
| Patient Name | Mrs. MAHUA DAS | Contact No | 9433664870 |
| Address | 10 CHATTERJEE LANE | Age | 29 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||