Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00677 | Date 06/01/2020 |
| Token No | SM/19-20/1428 06/01/2020 | Serial | 017 |
| Patient Name | Mr. SUNIL BHUIYAN | Contact No | 6291862809 |
| Address | MINIUS QUARTER PRABASHNAGAR | Age | 17 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||