Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03678 | Date 06/01/2020 |
| Token No | SM/19-20/8240 06/01/2020 | Serial | 009 |
| Patient Name | Mr. KEDARNATH CHATTERJEE | Contact No | 8952415801 |
| Address | PATUA PARA | Age | 71 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||