Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01174 | Date 14/03/2020 |
| Token No | SM/19-20/3068 14/03/2020 | Serial | 005 |
| Patient Name | Mr. PANKAJ DAS | Contact No | 6291653354 |
| Address | 5 HARIPARA LANE SERAMPORE 712203 | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||