Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02697 | Date 02/08/2019 |
| Token No | SM/18-19/5349 02/08/2019 | Serial | 009 |
| Patient Name | Mr. SHYAMAL LAHA | Contact No | 9836875894 |
| Address | 29B GOBINDO BHATTACHARYA LANE | Age | 39 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||