Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01959 | Date 23/04/2019 |
| Token No | SM/19-20/8464 24/01/2020 | Serial | 006 |
| Patient Name | Mr. PRADIP CHATTERJEE | Contact No | 6290238621 |
| Address | KAILASH CHATTERJEE LANE | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||