Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02749 | Date 06/08/2019 |
| Token No | SM/18-19/5471 06/08/2019 | Serial | 050 |
| Patient Name | Mr. SANJIT ROY | Contact No | 9903660101 |
| Address | HOWRAH BALITIPURI, BSNL OFFICE WORKER | Age | 59 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||