Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00816 | Date 21/09/2018 |
| Token No | SM/18-19/1078 21/09/2018 | Serial | 002 |
| Patient Name | Baby DEBANGANA GHOSHMONDAL | Contact No | 9038547712 |
| Address | K C BHATTACHARJEE LANE | Age | 4 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | 110 / min | Height | cm |
| Diagnosis | |||