Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00771 | Date 21/01/2020 |
| Token No | SM/19-20/1700 21/01/2020 | Serial | 012 |
| Patient Name | Mr. SANKAR BHOWMICK | Contact No | 8622998810 |
| Address | 5 B B GHOSH ROAD SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||