Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01072 | Date 25/02/2020 |
| Token No | SM/19-20/2567 25/02/2020 | Serial | 009 |
| Patient Name | Mr. NANTU SAHA | Contact No | 9007324732 |
| Address | 35/C SUKANTA PALLY MALLICKPARA SERAMPORE 712203 | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||