Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07049 | Date 15/09/2022 |
| Token No | SM/22-23/5142 15/09/2022 | Serial | 023 |
| Patient Name | Mr. SUSANTA DAS | Contact No | 9883261577 |
| Address | BANGALAXMI, MAHESH | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||