Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00150 | Date 16/09/2019 |
| Token No | SM/19-20/2018 05/02/2020 | Serial | 025 |
| Patient Name | Mr. BUDDHADEV DATTA | Contact No | 8967777772 |
| Address | 26/B PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||