Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02877 | Date 22/08/2019 |
| Token No | SM/18-19/5845 22/08/2019 | Serial | 023 |
| Patient Name | Master SK BITTU | Contact No | 8012777336 |
| Address | 50 N L BHATTACHARYA STREET | Age | 13 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||