Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00035 | Date 07/09/2019 |
| Token No | SM/19-20/35 07/09/2019 | Serial | 013 |
| Patient Name | Mr. GOBINDA PAUL | Contact No | 7890786987 |
| Address | 18 NO TARAPUKUR LANE SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/100 mmHg | Weight | KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||