Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01223 | Date 18/03/2020 |
| Token No | SM/19-20/3209 18/03/2020 | Serial | 011 |
| Patient Name | Mr. SEKH RAJU | Contact No | 7887960079 |
| Address | 86A MALLICKPARA SERAMPORE 712203 | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||