Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01168 | Date 13/03/2020 |
| Token No | SM/19-20/4060 04/05/2020 | Serial | 007 |
| Patient Name | Mrs. KRISHNA JANA | Contact No | 8585025962 |
| Address | PRABASHNAGAR 712249 | Age | 51 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||