Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00869 | Date 05/02/2020 |
| Token No | SM/19-20/2003 05/02/2020 | Serial | 010 |
| Patient Name | Mrs. SIBANI ROY | Contact No | |
| Address | 28 PRABASHNAGAR 712249 | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||