Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03594 | Date 10/12/2019 |
| Token No | SM/19-20/7986 10/12/2019 | Serial | 005 |
| Patient Name | Mr. BIJOY GHOSH | Contact No | 9330664080 |
| Address | 15 N N ROY STREET | Age | 21 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||