Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00850 | Date 03/02/2020 |
| Token No | SM/19-20/1944 03/02/2020 | Serial | 020 |
| Patient Name | Baby PARI KUMARI | Contact No | 8232891706 |
| Address | GHORAMARA SERAMPORE | Age | 1 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||