Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00493 | Date 03/12/2019 |
| Token No | SM/19-20/943 03/12/2019 | Serial | 008 |
| Patient Name | Mrs. PUNAM SAHA | Contact No | 9143385685 |
| Address | BIBIRBER SERAMPORE | Age | 21 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||