Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00112 | Date 13/09/2019 |
| Token No | SM/25-26/22630 26/10/2026 | Serial | 020 |
| Patient Name | Mr. CHITTARANJAN PAL | Contact No | 9831663114 |
| Address | GHORAMARA P PURBAPARA,SERAMPORE 712203 | Age | 72 Years,9 Months,24 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 107/65 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||