Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01536 | Date 30/04/2020 |
| Token No | SM/19-20/4012 30/04/2020 | Serial | 021 |
| Patient Name | Mr. AKHIL SAHA | Contact No | |
| Address | 4A TARAPUKUR COLONY SERAMPORE 712203 | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||