Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01363 | Date 11/12/2018 |
| Token No | SM/18-19/1938 11/12/2018 | Serial | 026 |
| Patient Name | Master SOUMOJIT KAR | Contact No | |
| Address | DEY GHAT LANE | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||