Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00490 | Date 02/12/2019 |
| Token No | SM/19-20/931 02/12/2019 | Serial | 007 |
| Patient Name | Mr. MINTU BAKSHI | Contact No | 9123766692 |
| Address | PRABASHNAGAR | Age | 49 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||