Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01094 | Date 27/02/2020 |
| Token No | SM/19-20/2656 27/02/2020 | Serial | 031 |
| Patient Name | Mr. RAJESH BHUNIYA | Contact No | 9073427436 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||