Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00152 | Date 16/09/2019 |
| Token No | SM/19-20/237 19/09/2019 | Serial | 008 |
| Patient Name | Mrs. APARNA DEY | Contact No | 9836030919 |
| Address | CHATRA,SERAMPORE 712201 | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||