Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02197 | Date 06/06/2019 |
| Token No | SM/18-19/4338 21/06/2019 | Serial | 006 |
| Patient Name | Mr. RATAN BHATTACHARYA | Contact No | 842007960 |
| Address | THAKURBATI ST | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||