Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00753 | Date 17/01/2020 |
| Token No | SM/19-20/1639 17/01/2020 | Serial | 038 |
| Patient Name | Mrs. SABITA BHUIYA | Contact No | 9903353699 |
| Address | MINIUS QUARTER PRABASHNAGAR | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||