Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01433 | Date 16/04/2020 |
| Token No | SM/19-20/3853 18/04/2020 | Serial | 002 |
| Patient Name | Mr. SOMNATH ADHIKARY | Contact No | 8478860634 |
| Address | PRABASHNAGAR SERAMPORE | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||