Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00864 | Date 05/02/2020 |
| Token No | SM/19-20/1994 05/02/2020 | Serial | 001 |
| Patient Name | Mr. SADANANDA DAS | Contact No | 7980852689 |
| Address | 32A TARAPUKUR LANE SERAMPORE 712203 | Age | 51 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||