Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00800 | Date 25/01/2020 |
| Token No | SM/19-20/1800 25/01/2020 | Serial | 007 |
| Patient Name | Mr. BACHA DAS | Contact No | 6291016208 |
| Address | 34 TARA PUKUR LANE SERAMPORE | Age | 70 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||