Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01560 | Date 10/01/2019 |
| Token No | SM/18-19/2239 10/01/2019 | Serial | 001 |
| Patient Name | Mr. ASISH BINDU BASU | Contact No | 7890662822 |
| Address | JANNAGAR ROAD MAHESH | Age | 70 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||