Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00474 | Date 29/11/2019 |
| Token No | SM/19-20/896 29/11/2019 | Serial | 001 |
| Patient Name | Master SAPTARISHI MONDAL | Contact No | 7278227528 |
| Address | JHILL BAGEN SERAMPORE | Age | 4 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||