Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02994 | Date 05/09/2019 |
| Token No | SM/18-19/6248 05/09/2019 | Serial | 030 |
| Patient Name | Mr. SANJU DAS | Contact No | NOT GIVEN |
| Address | SERAMPORE | Age | 74 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||