Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01393 | Date 13/04/2020 |
| Token No | SM/19-20/3735 13/04/2020 | Serial | 001 |
| Patient Name | Mr. RATAN ADHIKARI | Contact No | 6289287041 |
| Address | B B GHOSH ROAD PRABAHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||