Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01243 | Date 20/03/2020 |
| Token No | SM/19-20/3307 20/03/2020 | Serial | 025 |
| Patient Name | Mr. SUBHAS SAMADDAR | Contact No | 8420707382 |
| Address | 70/C D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 46 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||