Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00351 | Date 08/11/2019 |
| Token No | SM/19-20/601 08/11/2019 | Serial | 001 |
| Patient Name | Mr. KISHORE ACHARYA | Contact No | |
| Address | TARAPUKUR QUARTER SERAMPORE | Age | 54 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||