Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03719 | Date 08/01/2020 |
| Token No | SM/19-20/8314 08/01/2020 | Serial | 009 |
| Patient Name | Mr. TARUN KUNDU | Contact No | NOT GIVEN |
| Address | KUNDU BARI | Age | 57 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 87 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||