Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03232 | Date 18/10/2019 |
| Token No | SM/19-20/8388 14/01/2020 | Serial | 010 |
| Patient Name | Mr. SAMIR DUTTA | Contact No | 9007839941 |
| Address | BYE SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||