Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09360 | Date 15/06/2023 |
| Token No | SM/22-23/10819 12/07/2023 | Serial | 025 |
| Patient Name | Mrs. MANISHA SAHOO | Contact No | 6290390623 |
| Address | 11/326 INDIA JUTE MILL | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||