Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03691 | Date 06/01/2020 |
| Token No | SM/19-20/8269 06/01/2020 | Serial | 038 |
| Patient Name | Mr. NIMAI CHANDRA | Contact No | NOT GIVEN |
| Address | 33 DEY BAGAN LANE | Age | 68 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||