Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01529 | Date 30/04/2020 |
| Token No | SM/19-20/3999 30/04/2020 | Serial | 008 |
| Patient Name | Mr. BISWAJIT BAKSHI | Contact No | 8420981514 |
| Address | 72A/9 PRABASHNAGAR SERAMPORE 712249 | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||