Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01289 | Date 26/03/2020 |
| Token No | SM/19-20/3440 26/03/2020 | Serial | 005 |
| Patient Name | Mr. BADAL DUTTA | Contact No | 9088028817 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 48 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||