Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02381 | Date 28/06/2019 |
| Token No | SM/18-19/6039 30/08/2019 | Serial | 022 |
| Patient Name | Mr. SUBHRA MUKHERJEE | Contact No | 9830705150 |
| Address | 12A CHATTERJEE LANE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||