Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08611 | Date 22/03/2023 |
| Token No | SM/24-25/20301 19/12/2024 | Serial | 021 |
| Patient Name | Mrs. CHANDRAMA PARIDA | Contact No | 8777453557 |
| Address | 8/413 INDIA JUTE MILL | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||