Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01039 | Date 22/02/2020 |
| Token No | SM/19-20/2469 22/02/2020 | Serial | 007 |
| Patient Name | Mr. SUNANDA HAMBIR | Contact No | |
| Address | BERUIPARA HOOGHLY | Age | 54 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||