Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01065 | Date 24/02/2020 |
| Token No | SM/19-20/2547 24/02/2020 | Serial | 052 |
| Patient Name | Mr. SUBHOJIT DEY | Contact No | 7450057061 |
| Address | 30/13 TARAPUKUR LANE SERAMPORE 712203 | Age | 20 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||