Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01197 | Date 16/03/2020 |
| Token No | SM/19-20/3140 16/03/2020 | Serial | 040 |
| Patient Name | Mr. SADHAN DAS | Contact No | |
| Address | SOCIETY MATH PRABASHNAGAR 712249 | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||