Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00158 | Date 18/08/2018 |
| Token No | SM/18-19/166 18/08/2018 | Serial | 002 |
| Patient Name | Master AVINABA KUNDU | Contact No | |
| Address | Age | 7 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||