Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00701 | Date 09/01/2020 |
| Token No | SM/19-20/1485 09/01/2020 | Serial | 014 |
| Patient Name | Mrs. SUNITA NAYEK | Contact No | |
| Address | MINIUS QUARTER PRABASHNAGAR 712203 | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||