Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01182 | Date 16/03/2020 |
| Token No | SM/19-20/4055 04/05/2020 | Serial | 002 |
| Patient Name | Mr. DILIP CHOUDHARY | Contact No | 6291498690 |
| Address | HARIPARA LANE SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||