Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01016 | Date 18/02/2020 |
| Token No | SM/19-20/2405 18/02/2020 | Serial | 041 |
| Patient Name | Mr. MIHIR LAL SAHA | Contact No | 6291304576 |
| Address | 35/F/1 B B GHOSH ROAD SERAMPORE 712203 | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||