Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01389 | Date 11/04/2020 |
| Token No | SM/19-20/3726 11/04/2020 | Serial | 006 |
| Patient Name | Mr. ANINDA NANDY | Contact No | 9051562746 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||