Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00462 | Date 26/11/2019 |
| Token No | SM/19-20/867 26/11/2019 | Serial | 007 |
| Patient Name | Mr. SARAWATI HALDER | Contact No | |
| Address | GHORAMARA SERAMPORE | Age | 60 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||