Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00346 | Date 05/11/2019 |
| Token No | SM/19-20/637 14/11/2019 | Serial | 010 |
| Patient Name | Mrs. RADHA SHULI | Contact No | |
| Address | B B GHOSH ROAD PRABASHNAGAR | Age | 80 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||