Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03334 | Date 07/11/2019 |
| Token No | SM/18-19/7301 07/11/2019 | Serial | 018 |
| Patient Name | Mr. PRATAP SAHA | Contact No | 9831032596 |
| Address | RAYLAND ROAD | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||