Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03576 | Date 09/12/2019 |
| Token No | SM/19-20/8094 16/12/2019 | Serial | 025 |
| Patient Name | Mr. MANINDRA MONDAL | Contact No | 8100414854 |
| Address | PRAVASH NAGAR, PURBA PARA | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||