Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01521 | Date 29/04/2020 |
| Token No | SM/19-20/3987 29/04/2020 | Serial | 021 |
| Patient Name | Mr. SATIRTHA MUKHERJEE | Contact No | 9088520257 |
| Address | 36/B PRABASHNAGAR SERAMPORE 712249 | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||