Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01293 | Date 27/03/2020 |
| Token No | SM/22-23/4690 24/11/2022 | Serial | 011 |
| Patient Name | Mr. ATUL DAS | Contact No | |
| Address | PROVASNAGER | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||