Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11423 | Date 20/04/2024 |
| Token No | SM/24-25/15853 20/04/2024 | Serial | 003 |
| Patient Name | Mr. DEBPRASAD MAHARANA | Contact No | 9903862448 |
| Address | 772 G T ROAD MANIKTALA | Age | 8 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||