Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 04174 | Date 19/03/2021 |
| Token No | SM/20-21/9177 19/03/2021 | Serial | 002 |
| Patient Name | Mr. TARUN KUNDU | Contact No | 9674565855 |
| Address | SERAMPORE BOTTALA | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||