Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03724 | Date 08/01/2020 |
| Token No | SM/19-20/8320 08/01/2020 | Serial | 015 |
| Patient Name | Mr. DUDHNATH SINGH | Contact No | 7980013630 |
| Address | DEY BARI DEY STREET | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||