Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 00563 | Date 17/12/2019 |
| Token No | SM/19-20/1319 31/12/2019 | Serial | 002 |
| Patient Name | Mrs. REKHA DEBI | Contact No | 8981623436 |
| Address | RAYLAND ROAD SERAMPORE | Age | 38 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||