Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 00604 | Date 23/12/2019 |
| Token No | SM/19-20/1238 23/12/2019 | Serial | 010 |
| Patient Name | Mr. RAMKRISHNA MUKHERJEE | Contact No | 9836119373 |
| Address | 5/1 MONSATALA LANE MAHESH | Age | 71 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||