Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03713 | Date 08/01/2020 |
| Token No | SM/19-20/8308 08/01/2020 | Serial | 003 |
| Patient Name | Mr. PANCHA DAS | Contact No | 9480525606 |
| Address | BAT TALA | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||