Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00928 | Date 12/02/2020 |
| Token No | SM/19-20/3612 03/04/2020 | Serial | 012 |
| Patient Name | Mr. BADAL SIKDAR | Contact No | 9330409653 |
| Address | 38E B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 59 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||