Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01057 | Date 05/10/2018 |
| Token No | SM/18-19/1380 05/10/2018 | Serial | 021 |
| Patient Name | Baby ROSINI BOSAK | Contact No | 9093652104 |
| Address | CHATRA | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | 104 / min | Height | cm |
| Diagnosis | |||