Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01883 | Date 05/04/2019 |
| Token No | SM/18-19/4222 17/06/2019 | Serial | 014 |
| Patient Name | Mr. NARAYAN SAHA | Contact No | 8240774585 |
| Address | 7 CHATTERJEE LANE | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||