Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00744 | Date 17/01/2020 |
| Token No | SM/19-20/1720 21/01/2020 | Serial | 032 |
| Patient Name | Mr. K B ARCHARYA | Contact No | |
| Address | PROVASNAGER SERAMPORE | Age | 50 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||