Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01355 | Date 11/12/2018 |
| Token No | SM/18-19/1922 11/12/2018 | Serial | 010 |
| Patient Name | Mr. ABHISEKH MUKHERJEE | Contact No | 8017641990 |
| Address | 19 KAILASH CH. CHATTERJEE LANE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||