Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11664 | Date 15/06/2024 |
| Token No | SM/24-25/20391 26/12/2024 | Serial | 013 |
| Patient Name | Mr. CHANDAN PARIDA | Contact No | 7044696080 |
| Address | DEY STREET | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||