Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03749 | Date 17/01/2020 |
| Token No | SM/19-20/8425 17/01/2020 | Serial | 016 |
| Patient Name | Mr. TANMOY GHOSH | Contact No | 8420947734 |
| Address | BHAGIRATHI LANE | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||