Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00850 | Date 12/09/2018 |
| Token No | SM/18-19/1122 12/09/2018 | Serial | 012 |
| Patient Name | Baby ANASU KAHAR | Contact No | 9038562471 |
| Address | MANIKTALA | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | 106 / min | Height | cm |
| Diagnosis | |||