Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 01517 | Date 29/04/2020 |
| Token No | SM/19-20/3981 29/04/2020 | Serial | 015 |
| Patient Name | Mr. PRODIP BHUIAN | Contact No | 7980588191 |
| Address | J N LAHARIROAD SERAMPORE | Age | 21 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||