Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00679 | Date 06/01/2020 |
| Token No | SM/19-20/2307 17/02/2020 | Serial | 002 |
| Patient Name | Mr. BIDUR CHANDRA DALUI | Contact No | 8420337703 |
| Address | 34/B/19 B B GHOSH ROAD SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 160/100 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||