Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02946 | Date 30/08/2019 |
| Token No | SM/18-19/6073 30/08/2019 | Serial | 056 |
| Patient Name | Master YUVRAJ ROY | Contact No | 9007754737 |
| Address | 56 AKHRABATI LANE | Age | 8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||