Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01450 | Date 17/04/2020 |
| Token No | SM/19-20/3851 17/04/2020 | Serial | 025 |
| Patient Name | Mr. SAIKAT DEY | Contact No | 7980123238 |
| Address | D/145/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 27 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||