Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00108 | Date 13/09/2019 |
| Token No | SM/19-20/118 13/09/2019 | Serial | 017 |
| Patient Name | Mr. AMAR MONDAL | Contact No | 8013303604 |
| Address | 65/25/10/C PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||