Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00561 | Date 16/12/2019 |
| Token No | SM/19-20/1131 16/12/2019 | Serial | 011 |
| Patient Name | Mr. KRISHNENDU BHATTACHARYA | Contact No | 9038324432 |
| Address | SINGUR RATANPUR 2 HOOGHLY | Age | 36 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||