Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00320 | Date 01/11/2019 |
| Token No | SM/19-20/553 05/11/2019 | Serial | 021 |
| Patient Name | Mrs. ANJALI PAL | Contact No | 9831448332 |
| Address | CHKLAPARA PRABASHNAGAR | Age | 53 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||