Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00283 | Date 22/10/2019 |
| Token No | SM/19-20/441 22/10/2019 | Serial | 010 |
| Patient Name | Mr. BIJOY BISHNU | Contact No | 8777400122 |
| Address | 20/C PRABASHNAGAR | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||