Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02124 | Date 27/05/2019 |
| Token No | SM/19-20/8589 19/02/2020 | Serial | 001 |
| Patient Name | Mrs. SADHANA CHATTERJEE | Contact No | 9163317381 |
| Address | NALIKUL | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||