Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00936 | Date 12/02/2020 |
| Token No | SM/19-20/2191 12/02/2020 | Serial | 027 |
| Patient Name | Mr. RATHIN MUKHERJEE | Contact No | 7890884140 |
| Address | 98/H/8 DHOBIA PARA SERAMPORE 712249 | Age | 38 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||