Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00983 | Date 17/02/2020 |
| Token No | SM/19-20/2467 22/02/2020 | Serial | 005 |
| Patient Name | Mrs. PINKI BARMA | Contact No | 6290170493 |
| Address | 13/36 B B GHOSH ROAD PRABASHNAGAR | Age | 28 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||