Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06715 | Date 12/08/2022 |
| Token No | SM/24-25/20026 03/12/2024 | Serial | 003 |
| Patient Name | Mrs. SUPRITI PATRA | Contact No | 8981399989 |
| Address | 37/A CHANDRA MOHAN ROY LANE | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||