Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00986 | Date 17/02/2020 |
| Token No | SM/19-20/2342 17/02/2020 | Serial | 037 |
| Patient Name | Mr. MADAN MOHAN DEY | Contact No | |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 80 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||