Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 00865 | Date 05/02/2020 |
| Token No | SM/19-20/1996 05/02/2020 | Serial | 003 |
| Patient Name | Mr. PRADEEP PODDAR | Contact No | 9836903085 |
| Address | 111 J N LAHIRI ROAD SERAMPORE 712201 | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||