Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01217 | Date 17/03/2020 |
| Token No | SM/19-20/3293 20/03/2020 | Serial | 011 |
| Patient Name | Mr. JAGAT GURU BHATTACHARJEE | Contact No | 9748210598 |
| Address | 20/I D N BHATTACHARYA SARANI PRABASHNGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||