Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03758 | Date 24/01/2020 |
| Token No | SM/19-20/8467 24/01/2020 | Serial | 009 |
| Patient Name | Mr. SANJIT BAG | Contact No | 8273078703 |
| Address | 3 NO ANNADA BABU GARDEN LANE | Age | 31 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||