Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00182 | Date 17/09/2019 |
| Token No | SM/19-20/209 17/09/2019 | Serial | 018 |
| Patient Name | Mr. BIJAY GHOSH | Contact No | 9088603019 |
| Address | 30/32/A TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||