Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01447 | Date 17/04/2020 |
| Token No | SM/19-20/3848 17/04/2020 | Serial | 022 |
| Patient Name | Mr. MANGAL SANYAL | Contact No | 9088283226 |
| Address | 65/7 PRABASHNAGAR SERAMPORE 712249 | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||