Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03716 | Date 08/01/2020 |
| Token No | SM/19-20/8311 08/01/2020 | Serial | 006 |
| Patient Name | Mr. NANDADULAL SAHA | Contact No | 9830568400 |
| Address | 11 CHOWDHURY PARA | Age | 75 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||