Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00901 | Date 07/02/2020 |
| Token No | SM/19-20/2768 02/03/2020 | Serial | 030 |
| Patient Name | Mr. BAPPA BERA | Contact No | |
| Address | TARKESHWAR | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||