Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00909 | Date 08/02/2020 |
| Token No | SM/19-20/2115 08/02/2020 | Serial | 016 |
| Patient Name | Mr. RANJIT RABIDAS | Contact No | 8481045958 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||