Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00746 | Date 17/01/2020 |
| Token No | SM/19-20/1623 17/01/2020 | Serial | 022 |
| Patient Name | Mr. AIJAL MALLICK | Contact No | 9748084289 |
| Address | DAKSHIN PARA SERAMPORE | Age | 47 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||