Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03339 | Date 07/11/2019 |
| Token No | SM/19-20/8374 13/01/2020 | Serial | 030 |
| Patient Name | Mr. RAMESH SHAW | Contact No | 9339516352 |
| Address | 40 K M BHATTACHARJEE STREET | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||