Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01096 | Date 27/02/2020 |
| Token No | SM/19-20/4004 30/04/2020 | Serial | 013 |
| Patient Name | Mr. JAYANTA SHIL | Contact No | 9143064981 |
| Address | 165/C PRABASHNAGAR WEST JANNAGAR ROAD SERAMPORE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||