Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00599 | Date 23/12/2019 |
| Token No | SM/19-20/1302 30/12/2019 | Serial | 005 |
| Patient Name | Mrs. SANDHYA BERA | Contact No | |
| Address | D CRUZE GARDEN ROAD PRABASHNAGAR | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||