Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00312 | Date 31/10/2019 |
| Token No | SM/19-20/2316 17/02/2020 | Serial | 011 |
| Patient Name | Mr. NEMAI DUTTA | Contact No | 8100170151 |
| Address | 26/B DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||