Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00846 | Date 12/09/2018 |
| Token No | SM/18-19/1118 12/09/2018 | Serial | 008 |
| Patient Name | Baby PUSPITA DASGUPTA | Contact No | |
| Address | THAKUR BATI STREET | Age | 1 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | 114 / min | Height | cm |
| Diagnosis | |||