Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02918 | Date 27/08/2019 |
| Token No | SM/18-19/5980 27/08/2019 | Serial | 060 |
| Patient Name | Mr. RAJU MUKHERJEE | Contact No | 9874036992 |
| Address | KONNAGAR NABAGRAM | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||