Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00727 | Date 11/01/2020 |
| Token No | SM/19-20/2766 02/03/2020 | Serial | 028 |
| Patient Name | Mr. AMAL DEBNATH | Contact No | 8583045656 |
| Address | PROVASNAGER SERAMPORE | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||