Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11372 | Date 05/04/2024 |
| Token No | SM/24-25/15634 05/04/2024 | Serial | 001 |
| Patient Name | Mr. SUSHANTA SAHU | Contact No | 9831332977 |
| Address | 48/ BHAGIRATHI LANE | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||