Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06863 | Date 02/09/2022 |
| Token No | SM/22-23/4806 02/09/2022 | Serial | 002 |
| Patient Name | Mrs. SOHINI SENAPATI | Contact No | 9433668745 |
| Address | 11/A POTUA PARA | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||