Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01591 | Date 17/01/2019 |
| Token No | SM/18-19/2453 14/02/2019 | Serial | 019 |
| Patient Name | Mr. RABINDRA NATH MUKHERJEE | Contact No | 8902415260 |
| Address | SEORAPHULI SIBTALA | Age | 76 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||