Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00867 | Date 12/09/2018 |
| Token No | SM/18-19/1139 12/09/2018 | Serial | 029 |
| Patient Name | Baby KRISHANJIT PASWAN | Contact No | 9776285413 |
| Address | BATTALA | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | 96 / min | Height | cm |
| Diagnosis | |||