Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00207 | Date 20/09/2019 |
| Token No | SM/19-20/1170 18/12/2019 | Serial | 006 |
| Patient Name | Mr. PAPPU KUMAR MISHRA | Contact No | 9339603915 |
| Address | 1 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||