Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03466 | Date 22/11/2019 |
| Token No | SM/18-19/7643 22/11/2019 | Serial | 002 |
| Patient Name | Mr. KAMALA KANTA MUKHERJEE | Contact No | 9073063649 |
| Address | 15/A KAILASH CHATTERJEE LANE | Age | 70 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||