Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00388 | Date 16/11/2019 |
| Token No | SM/19-20/701 16/11/2019 | Serial | 001 |
| Patient Name | Mr. KAUSTAV DAS | Contact No | |
| Address | 10U/2 HARI PARA SERAMPORE | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | 4.2 cm |
| Diagnosis | |||