Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13173 | Date 26/06/2025 |
| Token No | SM/25-26/991 26/06/2025 | Serial | 011 |
| Patient Name | Mrs. JHUMRI SWAIN | Contact No | 8478941066 |
| Address | 12 PITAMBAR DEY LANE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||