Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01378 | Date 08/04/2020 |
| Token No | SM/19-20/3695 08/04/2020 | Serial | 007 |
| Patient Name | Mr. SANTU ROY | Contact No | 7439226830 |
| Address | 35/A SERAMPORE 712203 | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||