Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00959 | Date 14/02/2020 |
| Token No | SM/19-20/2263 14/02/2020 | Serial | 048 |
| Patient Name | Mrs. MALUMIYA GHURUI | Contact No | |
| Address | MALLICKPARA SERAMPORE | Age | 21 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||