Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02619 | Date 26/07/2019 |
| Token No | SM/18-19/5128 26/07/2019 | Serial | 007 |
| Patient Name | Master ANIRBAN ROY | Contact No | 7006953213 |
| Address | 5 BECHU DEY LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||