Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01340 | Date 03/04/2020 |
| Token No | SM/19-20/3601 03/04/2020 | Serial | 001 |
| Patient Name | Mrs. BAROTI ROY | Contact No | |
| Address | HARI PARA | Age | 44 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||