Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10081 | Date 22/08/2023 |
| Token No | SM/22-23/11836 22/08/2023 | Serial | 015 |
| Patient Name | Mr. RAJIB PATRA | Contact No | 6295793141 |
| Address | 19/B A B GARDEN LANE | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||