Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00740 | Date 19/09/2018 |
| Token No | SM/18-19/993 19/09/2018 | Serial | 003 |
| Patient Name | Baby BHUMIKA ROUTH | Contact No | |
| Address | CHATTERJEE LANE | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | 108 / min | Height | cm |
| Diagnosis | |||