Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01044 | Date 22/02/2020 |
| Token No | SM/19-20/2482 22/02/2020 | Serial | 020 |
| Patient Name | Mrs. MITA PALIT | Contact No | |
| Address | TARA PUKUR COLONI | Age | 35 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||