Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03697 | Date 07/01/2020 |
| Token No | SM/19-20/8286 07/01/2020 | Serial | 017 |
| Patient Name | Mr. SUGATA BISWAS | Contact No | 9433558490 |
| Address | 105 PATUA PARA LANE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||