Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11202 | Date 28/02/2024 |
| Token No | SM/22-23/15097 06/03/2024 | Serial | 039 |
| Patient Name | Mr. KANAILAL PATRA | Contact No | 8910507827 |
| Address | 12 BARAL BAGAN | Age | 76 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||