Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06240 | Date 28/06/2022 |
| Token No | SM/22-23/10590 04/07/2023 | Serial | 012 |
| Patient Name | Mr. ASHOK PARIDA | Contact No | 9830599085 |
| Address | 136A THAKUR BATI ST | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||