Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00897 | Date 10/09/2018 |
| Token No | SM/18-19/1177 10/09/2018 | Serial | 006 |
| Patient Name | Baby RISYOJITA GHOSHMONDAL | Contact No | 9742256011 |
| Address | MANIKTALA | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | 96 / min | Height | cm |
| Diagnosis | |||