Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03867 | Date 04/03/2020 |
| Token No | SM/19-20/8635 04/03/2020 | Serial | 011 |
| Patient Name | Mr. CHANDRIKA PRASAD | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||