Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02397 | Date 02/07/2019 |
| Token No | SM/18-19/5157 26/07/2019 | Serial | 036 |
| Patient Name | Mr. NARESH PAL | Contact No | 9038941200 |
| Address | THAKUR BATI STREET | Age | 71 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||