Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01158 | Date 12/03/2020 |
| Token No | SM/19-20/2992 12/03/2020 | Serial | 008 |
| Patient Name | Mr. BISHAL ROY | Contact No | 6291714149 |
| Address | 5Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||