Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02955 | Date 30/08/2019 |
| Token No | SM/18-19/6096 30/08/2019 | Serial | 079 |
| Patient Name | Mr. PREM KUMAR CHHETRI | Contact No | 9674991479 |
| Address | SERAMPORE | Age | 67 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||