Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00676 | Date 06/01/2020 |
| Token No | SM/19-20/1590 15/01/2020 | Serial | 003 |
| Patient Name | Mr. ABHISHEK BARMA | Contact No | 8232891706 |
| Address | CHAKLAPARA PRABASHNAGAR | Age | 7 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||