Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07712 | Date 17/11/2022 |
| Token No | SM/24-25/17725 24/07/2024 | Serial | 027 |
| Patient Name | Mr. RAJENDRA SASMAL | Contact No | 7003716583 |
| Address | PRAVASH NAGAR | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||