Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00519 | Date 06/12/2019 |
| Token No | SM/19-20/1007 06/12/2019 | Serial | 028 |
| Patient Name | Mr. JHOTAN DAS | Contact No | 9232314720 |
| Address | SERAMPORE COLONY | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||