Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00654 | Date 04/01/2020 |
| Token No | SM/19-20/1381 04/01/2020 | Serial | 003 |
| Patient Name | Mr. BIMAL MALIK | Contact No | 7044017762 |
| Address | 2 TARAPUKUR COLONY SERAMPORE 712203 | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||