Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01534 | Date 28/12/2018 |
| Token No | SM/18-19/2177 28/12/2018 | Serial | 017 |
| Patient Name | Mr. BISWAJIT SAHA | Contact No | 9432444360 |
| Address | BAIDYABATI | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||