Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03282 | Date 23/10/2019 |
| Token No | SM/18-19/7140 23/10/2019 | Serial | 011 |
| Patient Name | Mr. SOURAV NANDI | Contact No | 7003692464 |
| Address | 38P.K.B LANE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||