Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03008 | Date 06/09/2019 |
| Token No | SM/18-19/6286 06/09/2019 | Serial | 034 |
| Patient Name | Mr. RAJA GHOSH | Contact No | |
| Address | MAHESH | Age | 23 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||