Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00855 | Date 04/02/2020 |
| Token No | SM/19-20/1967 04/02/2020 | Serial | 004 |
| Patient Name | Mr. BAIDYARAJ BANERJEE | Contact No | 7596971315 |
| Address | 65/14/1B MAHESH JANNAGAR ROAD PRABASHNAGAR 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||