Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03598 | Date 10/12/2019 |
| Token No | SM/19-20/8001 10/12/2019 | Serial | 020 |
| Patient Name | Master SHAN MONDAL | Contact No | 9903553261 |
| Address | 43/32/B/2 PRAVAS NAGAR | Age | 3Y 6M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||