Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02829 | Date 16/08/2019 |
| Token No | SM/18-19/5690 16/08/2019 | Serial | 058 |
| Patient Name | Baby SUBHADRA PAL | Contact No | 7005289532 |
| Address | 8 K M SHA STREET | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||