Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00231 | Date 24/09/2019 |
| Token No | SM/19-20/303 24/09/2019 | Serial | 012 |
| Patient Name | Mr. RAMBILASH SHAW | Contact No | 9062048465 |
| Address | BAIDHY BATI HOOGHLY | Age | 49 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 5.7 cm |
| Diagnosis | |||