Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01047 | Date 22/02/2020 |
| Token No | SM/19-20/2814 04/03/2020 | Serial | 045 |
| Patient Name | Mr. ANKUR DEY | Contact No | 7044129478 |
| Address | 30/25 TARAPUKUR LANE SERAMPORE 712203 | Age | 19 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||