Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00063 | Date 09/09/2019 |
| Token No | SM/19-20/3929 27/04/2020 | Serial | 011 |
| Patient Name | Mr. RANJAY TANTI | Contact No | 7890662613 |
| Address | 97/N/8/C PROVASNAGER SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||