Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01036 | Date 22/02/2020 |
| Token No | SM/19-20/3521 30/03/2020 | Serial | 014 |
| Patient Name | Mr. MINTU DEY | Contact No | 9836894760 |
| Address | 25/X TARAPUKUR GOVT QUATER SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||