Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00019 | Date 06/09/2019 |
| Token No | SM/19-20/3056 13/03/2020 | Serial | 034 |
| Patient Name | Mr. ADITYA DAS | Contact No | 8481978503 |
| Address | 10/J HARIPARA LANE SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||