Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00491 | Date 02/12/2019 |
| Token No | SM/19-20/932 02/12/2019 | Serial | 008 |
| Patient Name | Mrs. ANJALI KARMAKAR | Contact No | |
| Address | 4 TARAPUKUR COLONY | Age | 70 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||