Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00719 | Date 10/01/2020 |
| Token No | SM/19-20/1537 10/01/2020 | Serial | 031 |
| Patient Name | Mr. KALU BHUIYA | Contact No | |
| Address | BLOCK A B B GHOSH ROAD SERAMPORE | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||