Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01693 | Date 19/02/2019 |
| Token No | SM/18-19/2519 19/02/2019 | Serial | 020 |
| Patient Name | Master SK ARHAN | Contact No | 8334072423 |
| Address | DEY STREET | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||