Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 00608 | Date 24/12/2019 |
| Token No | SM/19-20/1251 24/12/2019 | Serial | 008 |
| Patient Name | Mr. PINTU BHOWMICK | Contact No | 9831970974 |
| Address | 269 MAHESH COLONY SERAMPORE 712202 | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||