Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03027 | Date 12/09/2019 |
| Token No | SM/19-20/8044 13/12/2019 | Serial | 017 |
| Patient Name | Mr. PARIKSHIT PAL | Contact No | 9339596758 |
| Address | 52 DR N L BHATTACHARYA STREET | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||