Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01007 | Date 18/02/2020 |
| Token No | SM/19-20/2387 18/02/2020 | Serial | 023 |
| Patient Name | Mr. SK SOVAN | Contact No | |
| Address | CHAKAPARA PRABASHNAGAR 712203 | Age | 67 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||