Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01352 | Date 11/12/2018 |
| Token No | SM/18-19/1918 11/12/2018 | Serial | 006 |
| Patient Name | Mr. SEKH ARAHAN | Contact No | 8334072423 |
| Address | K. C BHATTACHARYA ST | Age | 1 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||