Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01116 | Date 04/03/2020 |
| Token No | SM/19-20/2770 04/03/2020 | Serial | 001 |
| Patient Name | Mr. KANAILAL DEY | Contact No | |
| Address | SERAMPORE | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||