Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02205 | Date 07/06/2019 |
| Token No | SM/18-19/4014 07/06/2019 | Serial | 011 |
| Patient Name | Master SHRABAN RAM | Contact No | 8967287282 |
| Address | GOPAL GANGULY LANE | Age | 7 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||