Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00288 | Date 22/10/2019 |
| Token No | SM/19-20/453 22/10/2019 | Serial | 022 |
| Patient Name | Mrs. GANGA SAHA | Contact No | 7278208994 |
| Address | PRABASHNAGAR | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||