Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00883 | Date 03/09/2018 |
| Token No | SM/18-19/1155 03/09/2018 | Serial | 014 |
| Patient Name | Baby DEPIKA SOREN | Contact No | 9086457822 |
| Address | MANIKTALA | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | 102 / min | Height | cm |
| Diagnosis | |||