Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09324 | Date 13/06/2023 |
| Token No | SM/22-23/10151 13/06/2023 | Serial | 013 |
| Patient Name | Mr. TAPAS SAHOO | Contact No | 6289722464 |
| Address | 11/326 RAM SITA LANE | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||