Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03389 | Date 15/11/2019 |
| Token No | SM/18-19/7425 15/11/2019 | Serial | 024 |
| Patient Name | Mr. BARUN CHAKRABORTY | Contact No | 9433378018 |
| Address | 1/2 CHATTERJEE LANE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||