Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00666 | Date 04/01/2020 |
| Token No | SM/19-20/1399 04/01/2020 | Serial | 021 |
| Patient Name | Mr. DEBENDAR SHAW | Contact No | 7047359828 |
| Address | SERAMPORE TIN BAZAR | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||