Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02207 | Date 07/06/2019 |
| Token No | SM/18-19/4026 07/06/2019 | Serial | 023 |
| Patient Name | Mr. SATYA NARAYAN APATA | Contact No | 9051651321 |
| Address | 2 BECHU DEY LANE | Age | 42 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||