Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00843 | Date 03/02/2020 |
| Token No | SM/19-20/1932 03/02/2020 | Serial | 008 |
| Patient Name | Mr. BIPLAB SARKAR | Contact No | 8981509667 |
| Address | A/21/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||