Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00280 | Date 22/10/2019 |
| Token No | SM/19-20/951 03/12/2019 | Serial | 016 |
| Patient Name | Mrs. ISHIKA MONDAL | Contact No | |
| Address | NEW MAHESH PRABASHNAGAR | Age | 19 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||