Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02893 | Date 26/08/2019 |
| Token No | SM/18-19/5901 26/08/2019 | Serial | 029 |
| Patient Name | Mr. GOURAV BISWAL | Contact No | 8100218312 |
| Address | SERAMPORE COLLEGE | Age | 26 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||