Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00859 | Date 12/09/2018 |
| Token No | SM/18-19/1131 12/09/2018 | Serial | 021 |
| Patient Name | Baby NANDINI DESHMUKH | Contact No | 9745862130 |
| Address | MANIKTALA | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | 104 / min | Height | cm |
| Diagnosis | |||