Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00421 | Date 23/11/2019 |
| Token No | SM/19-20/1107 14/12/2019 | Serial | 003 |
| Patient Name | Mr. RAMESH CH SHAW | Contact No | |
| Address | PROVASNAGER | Age | 79 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||