Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00883 | Date 07/02/2020 |
| Token No | SM/19-20/2056 07/02/2020 | Serial | 021 |
| Patient Name | Mr. SUBRATA MALAKAR | Contact No | 6291016208 |
| Address | 34 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 63 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||