Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02826 | Date 16/08/2019 |
| Token No | SM/18-19/5687 16/08/2019 | Serial | 055 |
| Patient Name | Mr. SOUMYA MALIK | Contact No | 7002585263 |
| Address | A K C BHATTACHARYA STREET | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||