Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02725 | Date 06/08/2019 |
| Token No | SM/22-23/8963 18/04/2023 | Serial | 024 |
| Patient Name | Mr. KESHTO PATRA | Contact No | 9874568978 |
| Address | PRAVAS NAGAR | Age | 69 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||