Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00903 | Date 07/02/2020 |
| Token No | SM/19-20/2096 07/02/2020 | Serial | 061 |
| Patient Name | Mr. BINA DAS | Contact No | |
| Address | PRABASHNAGAR | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||