Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00120 | Date 13/09/2019 |
| Token No | SM/19-20/130 13/09/2019 | Serial | 029 |
| Patient Name | Mr. BHABASINDHU DAS | Contact No | 6289869512 |
| Address | D N BHATTACHARYA SARANI,PRABASHNAGAR | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||