Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00856 | Date 04/02/2020 |
| Token No | SM/19-20/1968 04/02/2020 | Serial | 005 |
| Patient Name | Mr. MANOTOSH MONDAL | Contact No | 9836968430 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||