Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03997 | Date 13/08/2020 |
| Token No | SM/19-20/8826 13/08/2020 | Serial | 001 |
| Patient Name | Mrs. ARPITA MAJUMDER | Contact No | 9339422510 |
| Address | 29 N N COLONY | Age | 33 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||