Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03313 | Date 31/10/2019 |
| Token No | SM/18-19/7213 31/10/2019 | Serial | 030 |
| Patient Name | Mr. DEBESH PAL | Contact No | 9477524582 |
| Address | 2 GOPAL GANGULY LANE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||