Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03676 | Date 06/01/2020 |
| Token No | SM/19-20/8238 06/01/2020 | Serial | 007 |
| Patient Name | Mr. ASHOK DUTTA | Contact No | 9433668540 |
| Address | MANIKTALA BAZAR | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||