Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01198 | Date 16/03/2020 |
| Token No | SM/19-20/3141 16/03/2020 | Serial | 041 |
| Patient Name | Mr. AKBAR SEKH | Contact No | |
| Address | BARRACKPORE | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||