Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01133 | Date 06/03/2020 |
| Token No | SM/19-20/3023 13/03/2020 | Serial | 001 |
| Patient Name | Mr. RABINDRANATH DAS | Contact No | 9674782058 |
| Address | 55A/3 JANNAGAR ROAD WEST PRABASHNAGAR SERAMPORE 712203 | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||