Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01120 | Date 04/03/2020 |
| Token No | SM/19-20/3354 23/03/2020 | Serial | 006 |
| Patient Name | Mr. GANESH KANDAL | Contact No | 9007324986 |
| Address | 22B B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 58 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||