Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00860 | Date 04/02/2020 |
| Token No | SM/19-20/3203 18/03/2020 | Serial | 005 |
| Patient Name | Mr. BIJAY BANERJEE | Contact No | 8296527943 |
| Address | 18F HARIPARA LANE SERAMPORE 712203 | Age | 79 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||