Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00886 | Date 03/09/2018 |
| Token No | SM/18-19/1158 03/09/2018 | Serial | 017 |
| Patient Name | Baby PRITHA MUKHERJEE | Contact No | 9732245681 |
| Address | 3 NO MUKHERJEE LANE | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | 104 / min | Height | cm |
| Diagnosis | |||