Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08585 | Date 20/03/2023 |
| Token No | SM/22-23/8394 20/03/2023 | Serial | 009 |
| Patient Name | Mr. SANJAY SWAIN | Contact No | 9748548738 |
| Address | 33 K.M. BHATTACHARYA STREET | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||