Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01485 | Date 27/04/2020 |
| Token No | SM/19-20/3919 27/04/2020 | Serial | 001 |
| Patient Name | Mr. SUBRATA DEBNATH | Contact No | 9331298023 |
| Address | 20/B PRABASNAGAR SERAMPORE 712249 | Age | 51 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||