Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03607 | Date 13/12/2019 |
| Token No | SM/19-20/8033 13/12/2019 | Serial | 006 |
| Patient Name | Mr. SWAGATA KUNDU | Contact No | 7980825462 |
| Address | 584A G T ROAD, MANIKTALA | Age | 16 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||