Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01479 | Date 25/04/2020 |
| Token No | SM/19-20/3907 25/04/2020 | Serial | 004 |
| Patient Name | Mrs. ARATI DEBI | Contact No | 8420860615 |
| Address | CHAKLAPARA PRABASHNAGAR 712249 | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||