Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00484 | Date 29/11/2019 |
| Token No | SM/19-20/922 29/11/2019 | Serial | 027 |
| Patient Name | Mr. RABINDRA SAMADAR | Contact No | |
| Address | PROVASNAGER | Age | 53 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 140/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||