Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05535 | Date 15/03/2022 |
| Token No | SM/21-22/2423 15/03/2022 | Serial | 001 |
| Patient Name | Mrs. PRITI PARIDA | Contact No | 6290167997 |
| Address | 38 acharya k c bhattacrjee street | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||