Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02934 | Date 30/08/2019 |
| Token No | SM/18-19/6046 30/08/2019 | Serial | 029 |
| Patient Name | Mr. UJJAL MONDAL | Contact No | 9832658974 |
| Address | BAISHNAB PARA | Age | 29 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||