Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00486 | Date 02/12/2019 |
| Token No | SM/19-20/926 02/12/2019 | Serial | 002 |
| Patient Name | Master NABIN PAL | Contact No | 9062237710 |
| Address | 21 TARAPUKUR LANE SERAMPORE | Age | 2 MONTH Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||