Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00174 | Date 16/09/2019 |
| Token No | SM/19-20/191 16/09/2019 | Serial | 055 |
| Patient Name | Mr. RANOJAY CHOWDHUREY | Contact No | 7439573542 |
| Address | PROVASNAGER | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||