Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02808 | Date 16/08/2019 |
| Token No | SM/18-19/5635 16/08/2019 | Serial | 003 |
| Patient Name | Mr. SURENDRA PRADHAN | Contact No | 8902303143 |
| Address | 3 BECHU DEY LANE | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||