Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02404 | Date 02/07/2019 |
| Token No | SM/19-20/8430 17/01/2020 | Serial | 021 |
| Patient Name | Mrs. UMA HAZRA | Contact No | 7890661941 |
| Address | 2 BECHU DEY LANE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||