Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03759 | Date 24/01/2020 |
| Token No | SM/19-20/8468 24/01/2020 | Serial | 010 |
| Patient Name | Mr. BHOLA NATH DEY | Contact No | NOT GIVEN |
| Address | A B GARDEN LANE | Age | 81 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 180/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||