Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01835 | Date 29/03/2019 |
| Token No | SM/18-19/4139 13/06/2019 | Serial | 029 |
| Patient Name | Mr. BHASKAR PRADHAN | Contact No | 9038801477 |
| Address | 9 NO. LINE | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||