Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01068 | Date 24/02/2020 |
| Token No | SM/19-20/2555 24/02/2020 | Serial | 060 |
| Patient Name | Mr. NETAI CH BERA | Contact No | 9830727957 |
| Address | 3/D DCRUZE GARDEN LANE PRABASHNAGAR 712203 | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||