Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00651 | Date 03/01/2020 |
| Token No | SM/19-20/1528 10/01/2020 | Serial | 022 |
| Patient Name | Mr. BAPPA DAS | Contact No | 6289713414 |
| Address | 72A/6 DINEN BHATTACHARYA SARANI PRABASHNAGAR | Age | 23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||