Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00870 | Date 03/09/2018 |
| Token No | SM/18-19/1142 03/09/2018 | Serial | 001 |
| Patient Name | Baby PRIYANSU BERA | Contact No | 9093625147 |
| Address | BATTALA | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | 110 / min | Height | cm |
| Diagnosis | |||