Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00335 | Date 05/11/2019 |
| Token No | SM/19-20/698 15/11/2019 | Serial | 034 |
| Patient Name | Mr. SANJAY DEY | Contact No | 9088931242 |
| Address | 20/G/1 D N B SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||