Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00886 | Date 07/02/2020 |
| Token No | SM/19-20/2577 25/02/2020 | Serial | 019 |
| Patient Name | Mr. GOURHARI SADHUKHAN | Contact No | 8981158171 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||