Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00640 | Date 02/01/2020 |
| Token No | SM/19-20/1349 02/01/2020 | Serial | 005 |
| Patient Name | Mr. SUROJ SHAW | Contact No | |
| Address | PRABASHNAGAR | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||