Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00336 | Date 05/11/2019 |
| Token No | SM/19-20/558 05/11/2019 | Serial | 026 |
| Patient Name | Mrs. PRITI BARMA | Contact No | 8240593943 |
| Address | 13/36 B B GHOSH ROAD | Age | 21 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||