Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02308 | Date 18/06/2019 |
| Token No | SM/18-19/4371 24/06/2019 | Serial | 001 |
| Patient Name | Mr. BABLU NANDI | Contact No | 943333046 |
| Address | J.N LAHIRI ROAD | Age | 44 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||