Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02525 | Date 22/07/2019 |
| Token No | SM/18-19/4911 22/07/2019 | Serial | 004 |
| Patient Name | Mr. ABHINANDAN MUKHERJEE | Contact No | 8013393812 |
| Address | MUKHERJEE PARA | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||