Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00648 | Date 03/01/2020 |
| Token No | SM/19-20/1365 03/01/2020 | Serial | 005 |
| Patient Name | Mr. BIKRAM DAS | Contact No | |
| Address | MINIUS QUARTER PRABASHNAGAR | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||