Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00192 | Date 17/09/2019 |
| Token No | SM/19-20/2789 04/03/2020 | Serial | 020 |
| Patient Name | Mr. BISWANATH MALAKAR | Contact No | 9088374485 |
| Address | 34/B/27 B B GHOSH ROAD SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||