Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03730 | Date 13/01/2020 |
| Token No | SM/19-20/8368 13/01/2020 | Serial | 024 |
| Patient Name | Mr. KIRAN SAMAN | Contact No | 6290670326 |
| Address | 12 PITAMBAR DEY LANE | Age | 19 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||