Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00572 | Date 18/12/2019 |
| Token No | SM/19-20/1172 18/12/2019 | Serial | 008 |
| Patient Name | Mrs. PRATIMA DEBI | Contact No | |
| Address | 190 NEW MAHESH PRABASHNAGAR | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||