Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03685 | Date 06/01/2020 |
| Token No | SM/19-20/8247 06/01/2020 | Serial | 016 |
| Patient Name | Mr. JYOTIRMOY MALLICK | Contact No | 9434580025 |
| Address | JAGANNATH GHAT LANE | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||