Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00379 | Date 15/11/2019 |
| Token No | SM/19-20/668 15/11/2019 | Serial | 004 |
| Patient Name | Mr. KEDAR KARMAKAR | Contact No | 7044136440 |
| Address | 36/C/A MAHESH JANNAGAR ROAD PRABASHNAGAR | Age | 72 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||