Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00534 | Date 11/12/2019 |
| Token No | SM/19-20/1054 11/12/2019 | Serial | 006 |
| Patient Name | Mr. ARVIND KUMAR MALAKAR | Contact No | |
| Address | TARAPUKUR GOVT QUARTER | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||