Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00833 | Date 15/09/2018 |
| Token No | SM/18-19/1100 15/09/2018 | Serial | 020 |
| Patient Name | Baby JISHNU MALIK | Contact No | 8952123555 |
| Address | JUTE MILL LINE | Age | 2 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | 112 / min | Height | cm |
| Diagnosis | |||