Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00064 | Date 09/09/2019 |
| Token No | SM/19-20/65 09/09/2019 | Serial | 022 |
| Patient Name | Mr. RANJIT RABIDAS | Contact No | 8481045958 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 5.6 cm |
| Diagnosis | |||