Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02189 | Date 06/06/2019 |
| Token No | SM/18-19/3984 06/06/2019 | Serial | 009 |
| Patient Name | Mr. SUDIN KR DE | Contact No | 9433447829 |
| Address | 5/1 GOPAL CHANDRA GANGULY LANE | Age | 78 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||