Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01279 | Date 25/03/2020 |
| Token No | SM/19-20/4082 04/05/2020 | Serial | 029 |
| Patient Name | Mr. RUMA GUHA NANDI | Contact No | 9836775075 |
| Address | BIBIRBER SERAMPORE | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||