Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01020 | Date 19/02/2020 |
| Token No | SM/19-20/2414 19/02/2020 | Serial | 004 |
| Patient Name | Mrs. DEBANTI DEBI | Contact No | 8820962108 |
| Address | PRABASHNAGAR | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||