Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03718 | Date 08/01/2020 |
| Token No | SM/19-20/8313 08/01/2020 | Serial | 008 |
| Patient Name | Mrs. MALATI KUNDU | Contact No | 8009546820 |
| Address | KUNDU BARI | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||