Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00587 | Date 20/12/2019 |
| Token No | SM/19-20/1201 20/12/2019 | Serial | 017 |
| Patient Name | Mrs. MANDIRA DAS | Contact No | 9874360687 |
| Address | PRABASHNAGAR CHAKLAPARA | Age | 13 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||