Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01562 | Date 04/05/2020 |
| Token No | SM/19-20/4080 04/05/2020 | Serial | 027 |
| Patient Name | Mr. RAJU CHOWDHURY | Contact No | 9007905387 |
| Address | 105 NEW MAHESH SERAMPORE 712203 | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||