Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00514 | Date 06/12/2019 |
| Token No | SM/19-20/998 06/12/2019 | Serial | 019 |
| Patient Name | Master DEBOJIT DEBNATH | Contact No | 9339780070 |
| Address | PRABASHNAGAR | Age | 5 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||