Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01474 | Date 20/04/2020 |
| Token No | SM/19-20/3898 20/04/2020 | Serial | 029 |
| Patient Name | Mr. SAKTI KUMAR BHARTI | Contact No | 6289663422 |
| Address | B B GHOSH ROAD PRABASHNAGAR 712203 | Age | 34 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||