Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09028 | Date 12/05/2023 |
| Token No | SM/22-23/9531 12/05/2023 | Serial | 019 |
| Patient Name | Mr. AKSHAY PARIDA | Contact No | 6291857400 |
| Address | 9 NO LINE | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||