Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12416 | Date 02/12/2024 |
| Token No | SM/24-25/20010 02/12/2024 | Serial | 016 |
| Patient Name | Mr. KRISHNA SWAIN | Contact No | 9831132602 |
| Address | 15/A K.C. LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||