Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02303 | Date 18/06/2019 |
| Token No | SM/18-19/4373 24/06/2019 | Serial | 003 |
| Patient Name | Mr. RAJ KISHORE SHA | Contact No | NOT GIVEN |
| Address | J.N.LAHIRI ROPAD | Age | 59 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||