Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03112 | Date 24/09/2019 |
| Token No | SM/19-20/8006 10/12/2019 | Serial | 025 |
| Patient Name | Mr. PRASENJIT BISWAS | Contact No | 9836161185 |
| Address | SERAMPORE COLLEGE CAMPUS | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||