Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00658 | Date 04/01/2020 |
| Token No | SM/19-20/1389 04/01/2020 | Serial | 011 |
| Patient Name | Mr. AVIJIT SAHA | Contact No | |
| Address | PRABASHNAGAR | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||