Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01411 | Date 13/04/2020 |
| Token No | SM/19-20/3764 13/04/2020 | Serial | 030 |
| Patient Name | Mr. KAMALESH BAG | Contact No | 7980886920 |
| Address | 30/29A TARAPUKUR GOVT COLONY SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||