Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07192 | Date 11/10/2022 |
| Token No | SM/24-25/19847 23/11/2024 | Serial | 005 |
| Patient Name | Mrs. SUNITA BARIK | Contact No | 9875475253 |
| Address | 112/C R.B. SARANI | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||