Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00022 | Date 06/09/2019 |
| Token No | SM/19-20/3226 18/03/2020 | Serial | 028 |
| Patient Name | Mr. SAJAL DAS | Contact No | 9903302371 |
| Address | PROVASNAGER SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||