Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00885 | Date 03/09/2018 |
| Token No | SM/18-19/1157 03/09/2018 | Serial | 016 |
| Patient Name | Baby DISHA ROY | Contact No | 9742265881 |
| Address | BATTALA | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | 94 / min | Height | cm |
| Diagnosis | |||