Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09418 | Date 19/06/2023 |
| Token No | SM/22-23/10349 19/06/2023 | Serial | 036 |
| Patient Name | Mr. SUBHNAM PARIDA | Contact No | NOT GIVEN |
| Address | JUBILEE BASTI | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||