Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01424 | Date 15/04/2020 |
| Token No | SM/19-20/3784 15/04/2020 | Serial | 011 |
| Patient Name | Mr. SUBASH PAL | Contact No | 6290018705 |
| Address | 42B PRABASHNAGAR SERAMPORE 712249 | Age | 47 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||