Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00889 | Date 07/02/2020 |
| Token No | SM/19-20/2064 07/02/2020 | Serial | 029 |
| Patient Name | Mr. SEKH SAMIR | Contact No | 9748696606 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 31 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||