Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09330 | Date 13/06/2023 |
| Token No | SM/22-23/10166 13/06/2023 | Serial | 028 |
| Patient Name | Miss ANTARA PARIDA | Contact No | 8420944431 |
| Address | 114 R B SARANI | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||