Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01873 | Date 04/04/2019 |
| Token No | SM/18-19/3070 04/04/2019 | Serial | 045 |
| Patient Name | Baby YASH DUTTA | Contact No | |
| Address | Age | 2 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||