Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01052 | Date 05/10/2018 |
| Token No | SM/18-19/2904 19/03/2019 | Serial | 038 |
| Patient Name | Mr. ABHIT KR PAL | Contact No | 8647849386 |
| Address | 3A RUPCHAND CHAPRASI LANE | Age | 74 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||