Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00024 | Date 07/09/2019 |
| Token No | SM/19-20/24 07/09/2019 | Serial | 002 |
| Patient Name | Mr. AVIJIT MONDAL | Contact No | 9641676428 |
| Address | MURSHIDABAD | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||