Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02725 | Date 06/08/2019 |
| Token No | SM/18-19/5423 06/08/2019 | Serial | 002 |
| Patient Name | Mr. KESHTO PATRA | Contact No | 9874568978 |
| Address | PRAVAS NAGAR | Age | 69 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||