Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00377 | Date 14/11/2019 |
| Token No | SM/19-20/1784 24/01/2020 | Serial | 023 |
| Patient Name | Mr. RAM BHOROSHE | Contact No | 9339603915 |
| Address | HARIPARA LANE SERAMPORE | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||