Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01563 | Date 04/05/2020 |
| Token No | SM/19-20/4085 04/05/2020 | Serial | 032 |
| Patient Name | Mr. RATAN KUMAR SAHA | Contact No | 8100819733 |
| Address | 144 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||