Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00594 | Date 21/12/2019 |
| Token No | SM/19-20/1222 21/12/2019 | Serial | 011 |
| Patient Name | Mr. NILRATAN RUDRA | Contact No | 9088872131 |
| Address | 43/19/A SERAMPORE PRABASHNAGAR 712249 | Age | 66 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||