Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11864 | Date 30/07/2024 |
| Token No | SM/24-25/17811 30/07/2024 | Serial | 008 |
| Patient Name | Mrs. BASANTI PATRA | Contact No | NOT GIVEN |
| Address | 32 POTUA PARA | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||