Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03462 | Date 21/11/2019 |
| Token No | SM/18-19/7639 21/11/2019 | Serial | 060 |
| Patient Name | Mr. SOURAV PARIDA | Contact No | 6290167997 |
| Address | DEY BARI | Age | 25 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||