Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00668 | Date 04/01/2020 |
| Token No | SM/19-20/1403 04/01/2020 | Serial | 025 |
| Patient Name | Mr. SANJIB BISWAS | Contact No | 6290680766 |
| Address | 152/1 NISITH SEN SARANI BAIDYABATI M 712222 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||