Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03662 | Date 03/01/2020 |
| Token No | SM/19-20/8213 03/01/2020 | Serial | 011 |
| Patient Name | Mr. SUBIR GANGULY | Contact No | 9433887940 |
| Address | BECHU DEY LANE | Age | 58 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||