Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08271 | Date 07/02/2023 |
| Token No | SM/22-23/7715 07/02/2023 | Serial | 010 |
| Patient Name | Mr. BIJAY KUMAR BARIK | Contact No | 7003804183 |
| Address | MAHESH JAGANNATH MANDIR | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||