Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02880 | Date 22/08/2019 |
| Token No | SM/18-19/5849 22/08/2019 | Serial | 027 |
| Patient Name | Mr. PARTHA MUKHERJEE | Contact No | 9038508642 |
| Address | 30 PANCHANAN TALA LANE | Age | 47 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||