Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00762 | Date 18/01/2020 |
| Token No | SM/22-23/8734 11/05/2023 | Serial | 020 |
| Patient Name | Mrs. JAYA DAS | Contact No | 9231531833 |
| Address | PROVASNAGER | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||