Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02492 | Date 18/07/2019 |
| Token No | SM/19-20/7696 26/11/2019 | Serial | 025 |
| Patient Name | Mr. SHYAMAL KUMAR MUKHERJEE | Contact No | 9836730023 |
| Address | 87 DEY STREET | Age | 59 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||