Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03032 | Date 12/09/2019 |
| Token No | SM/18-19/6385 12/09/2019 | Serial | 032 |
| Patient Name | Mr. ARBIND RAJBHAR | Contact No | 6290101911 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||