Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01394 | Date 13/04/2020 |
| Token No | SM/19-20/3739 13/04/2020 | Serial | 005 |
| Patient Name | Mr. JOYDEB JANA | Contact No | 8585025962 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||