Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11679 | Date 20/06/2024 |
| Token No | SM/24-25/17012 20/06/2024 | Serial | 014 |
| Patient Name | Master ANGSUMAN BEHERA | Contact No | 8981244070 |
| Address | 38 A K C B STREET | Age | 10 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||