Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01313 | Date 30/03/2020 |
| Token No | SM/22-23/2811 16/09/2022 | Serial | 030 |
| Patient Name | Mr. SK HALIM | Contact No | |
| Address | CHAKAPARA SERAMPORE | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||