Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00921 | Date 10/02/2020 |
| Token No | SM/19-20/2155 10/02/2020 | Serial | 025 |
| Patient Name | Mr. SK RAMJAN | Contact No | 8420312080 |
| Address | 7 TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||