Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03650 | Date 31/12/2019 |
| Token No | SM/19-20/8178 31/12/2019 | Serial | 007 |
| Patient Name | Mr. MD ALAMGIR | Contact No | 8478965139 |
| Address | 13 GOPINATH SHA STREET | Age | 74 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||