Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01400 | Date 13/04/2020 |
| Token No | SM/19-20/3746 13/04/2020 | Serial | 012 |
| Patient Name | Mr. SANJIB DEBNATH | Contact No | |
| Address | TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 38 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||