Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00111 | Date 13/09/2019 |
| Token No | SM/19-20/121 13/09/2019 | Serial | 020 |
| Patient Name | Mr. PACHA RASUYA | Contact No | 6290908807 |
| Address | MINIUS QUARTER,PRABASHNAGAR | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||