Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 01336 | Date 04/12/2018 |
| Token No | SM/18-19/1878 04/12/2018 | Serial | 014 |
| Patient Name | Mr. RABINDRA DEBNATH | Contact No | 9883587067 |
| Address | 16H DINABANDHU CHATTERJEE LANE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||