Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00238 | Date 25/08/2018 |
| Token No | SM/18-19/1103 15/09/2018 | Serial | 023 |
| Patient Name | Baby ARUNDHUTI DEY | Contact No | |
| Address | DEY STREET | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 138/90 mmHg | Weight | 66 KG |
| Pulse Rate | 92 / min | Height | cm |
| Diagnosis | |||