Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01405 | Date 13/04/2020 |
| Token No | SM/19-20/3758 13/04/2020 | Serial | 024 |
| Patient Name | Mr. SAYAN GOSWAMI | Contact No | 8281839567 |
| Address | 30J TARAPUKUR LANE SERAMPORE 712203 | Age | 20 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||