Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09386 | Date 16/06/2023 |
| Token No | SM/22-23/10288 16/06/2023 | Serial | 024 |
| Patient Name | Mrs. MONIKA PATRA | Contact No | 7686919248 |
| Address | 57/56 RAILAND ROAD | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||