Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01407 | Date 13/04/2020 |
| Token No | SM/22-23/7782 24/03/2023 | Serial | 010 |
| Patient Name | Mr. SHANKAR DEY | Contact No | 9088931242 |
| Address | 20/G/1 D N B SARANI SERAMPORE PRABASHNAGAR 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||