Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13046 | Date 24/05/2025 |
| Token No | SM/25-26/581 24/05/2025 | Serial | 041 |
| Patient Name | Miss MOHANA PARIDA | Contact No | 6290167997 |
| Address | 3C AKC BHATTACHARYA STREET | Age | 2 YRS 8mnths Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||