Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00811 | Date 27/01/2020 |
| Token No | SM/19-20/1934 03/02/2020 | Serial | 010 |
| Patient Name | Mr. SWADHIN KUNDU | Contact No | 7044764464 |
| Address | BANDUL KAMARKITA BURDWAN 1 BARDDHAMAN 713426 | Age | 64 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||