Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00814 | Date 22/09/2018 |
| Token No | SM/18-19/1076 22/09/2018 | Serial | 056 |
| Patient Name | Baby RIHAN SADHUKHAN | Contact No | |
| Address | 3 NO MUKHERJEE LANE | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | 100 / min | Height | cm |
| Diagnosis | |||