Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00291 | Date 22/10/2019 |
| Token No | SM/19-20/457 22/10/2019 | Serial | 026 |
| Patient Name | Mr. PROSENJIT SAMANTA | Contact No | 8282925768 |
| Address | 34/B SUKANTA PALLY | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||