Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09592 | Date 10/07/2023 |
| Token No | SM/22-23/10783 10/07/2023 | Serial | 035 |
| Patient Name | Mrs. KAMLAWATI PARIDA | Contact No | NOT GIVEN |
| Address | 1/1 MUSALMAN PARA LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||