Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01665 | Date 14/02/2019 |
| Token No | SM/18-19/2459 14/02/2019 | Serial | 025 |
| Patient Name | Mr. JAGANNATH MUKHERJEE | Contact No | 9681802222 |
| Address | SERAMPORE | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||