Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00031 | Date 07/09/2019 |
| Token No | SM/19-20/3368 23/03/2020 | Serial | 020 |
| Patient Name | Mr. TUHIN SEN | Contact No | 8910129856 |
| Address | 48/G GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 31 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||