Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03403 | Date 16/11/2019 |
| Token No | SM/18-19/7453 16/11/2019 | Serial | 003 |
| Patient Name | Mr. KIRAMAT SEKH | Contact No | 6295294924 |
| Address | SINGHA GALI | Age | 38 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||