Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02810 | Date 16/08/2019 |
| Token No | SM/18-19/6354 12/09/2019 | Serial | 001 |
| Patient Name | Mr. DILIP KR KUNDU | Contact No | 9433641551 |
| Address | 35 K C BHATTACHARYA STREET | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||