Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00684 | Date 07/01/2020 |
| Token No | SM/19-20/1449 07/01/2020 | Serial | 016 |
| Patient Name | Mrs. SANDHYA DUARI | Contact No | |
| Address | 10/A CHAKLAPARA PRABASHNAGAR | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||