Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01104 | Date 28/02/2020 |
| Token No | SM/19-20/2677 28/02/2020 | Serial | 016 |
| Patient Name | Mr. SANJAY MITRA | Contact No | 9123895585 |
| Address | DINEN BHATTACHARYA SARANI SERAMPORE 712249 | Age | 51 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||