Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00873 | Date 05/02/2020 |
| Token No | SM/19-20/2008 05/02/2020 | Serial | 015 |
| Patient Name | Mr. TARKESHWAR SHAW | Contact No | 8100144652 |
| Address | GHORAMARA PURBAPARA SERAMPORE | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||