Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02827 | Date 16/08/2019 |
| Token No | SM/18-19/5688 16/08/2019 | Serial | 056 |
| Patient Name | Mr. ANKUSH RAICHOWDHURY | Contact No | 9674852586 |
| Address | PATUA PARA | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||