Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01267 | Date 23/03/2020 |
| Token No | SM/19-20/3364 23/03/2020 | Serial | 016 |
| Patient Name | Mr. UDAY SHAW | Contact No | |
| Address | PROVASNAGER SERAMPORE | Age | 7 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||