Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00312 | Date 31/10/2019 |
| Token No | SM/19-20/2196 12/02/2020 | Serial | 032 |
| Patient Name | Mr. NEMAI DUTTA | Contact No | 8100170151 |
| Address | 26/B DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||