Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00550 | Date 13/12/2019 |
| Token No | SM/19-20/1085 13/12/2019 | Serial | 011 |
| Patient Name | Mr. TANDI DAS | Contact No | |
| Address | SOCIETY MATH PRABASHNAGAR | Age | 64 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||