Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01472 | Date 20/04/2020 |
| Token No | SM/19-20/3896 20/04/2020 | Serial | 027 |
| Patient Name | Mr. SANJOY CHAKRABORTY | Contact No | 7003303766 |
| Address | 43/12 PRABASHNAGAR SERAMPORE 712249 | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||