Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01213 | Date 17/03/2020 |
| Token No | SM/19-20/3177 17/03/2020 | Serial | 025 |
| Patient Name | Mr. ABHIJIT MALIK | Contact No | 9007080953 |
| Address | 2 TARAPUKUR COLONY SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||