Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03483 | Date 26/11/2019 |
| Token No | SM/19-20/7698 26/11/2019 | Serial | 027 |
| Patient Name | Mr. SAUKAT JOT | Contact No | 7439171173 |
| Address | 10 DOSTI L;ANE | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||