Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02565 | Date 20/07/2019 |
| Token No | SM/18-19/5015 20/07/2019 | Serial | 025 |
| Patient Name | Mr. DHIMAN SEN | Contact No | 7003485575 |
| Address | 8 KALITALA | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||