Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09218 | Date 02/06/2023 |
| Token No | SM/22-23/10657 05/07/2023 | Serial | 032 |
| Patient Name | Mrs. GITA PARIDA | Contact No | 9861046726 |
| Address | 113 R.B. SARANI | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||