Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02295 | Date 18/06/2019 |
| Token No | SM/18-19/7268 05/11/2019 | Serial | 020 |
| Patient Name | Mr. PRAVAT KUNDU | Contact No | 8697361681 |
| Address | 584 G T ROAD MANIKTALA | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||