Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01112 | Date 02/03/2020 |
| Token No | SM/19-20/3268 19/03/2020 | Serial | 026 |
| Patient Name | Mr. DEBASIS DAS | Contact No | 9038647165 |
| Address | 1/E PRABASHNAGAR SERAMPORE 712249 | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||