Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00482 | Date 29/11/2019 |
| Token No | SM/19-20/915 29/11/2019 | Serial | 020 |
| Patient Name | Mr. BISWA NATH DAS | Contact No | |
| Address | HARI PARA SERAMPORE | Age | 43 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||