Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00739 | Date 17/01/2020 |
| Token No | SM/19-20/1703 21/01/2020 | Serial | 015 |
| Patient Name | Mr. BIJAY KR RAM | Contact No | |
| Address | SERAMPORE PROVASNAGER | Age | 36 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||