Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00815 | Date 27/01/2020 |
| Token No | SM/19-20/1837 27/01/2020 | Serial | 021 |
| Patient Name | Mr. SHYAM NAYAK | Contact No | 8622819777 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||