Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00395 | Date 19/11/2019 |
| Token No | SM/19-20/936 03/12/2019 | Serial | 001 |
| Patient Name | Mr. PRADIP SINGH | Contact No | 9330313348 |
| Address | 20/H D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||