Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05982 | Date 31/05/2022 |
| Token No | SM/22-23/3186 31/05/2022 | Serial | 006 |
| Patient Name | Mr. SOURAV PARIDA | Contact No | 8100568025 |
| Address | TEXTILE COLLEGE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||