Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01406 | Date 13/04/2020 |
| Token No | SM/19-20/3759 13/04/2020 | Serial | 025 |
| Patient Name | Mr. SOUMAJEET MUKHERJEE | Contact No | 8485886560 |
| Address | 30/J/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||