Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03204 | Date 17/10/2019 |
| Token No | SM/18-19/7290 07/11/2019 | Serial | 007 |
| Patient Name | Mr. LASHAR BISWAS | Contact No | 8582974843 |
| Address | SERAMPORE COLLEGE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||