Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01259 | Date 21/03/2020 |
| Token No | SM/19-20/3335 21/03/2020 | Serial | 011 |
| Patient Name | Mr. RATAN SAHA | Contact No | 8017328621 |
| Address | 34/B/54 SUKANTA PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||