Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00112 | Date 13/09/2019 |
| Token No | SM/19-20/3665 06/04/2020 | Serial | 018 |
| Patient Name | Mr. CHITTARANJAN PAL | Contact No | 9831663114 |
| Address | GHORAMARA P PURBAPARA,SERAMPORE 712203 | Age | 71 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||