Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00993 | Date 17/02/2020 |
| Token No | SM/19-20/2359 17/02/2020 | Serial | 054 |
| Patient Name | Mr. RANJIT KUMAR DEY | Contact No | 9903382653 |
| Address | 30/25 TARAPUKUR LANE SERAMPORE 712203 | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||