Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00285 | Date 22/10/2019 |
| Token No | SM/19-20/445 22/10/2019 | Serial | 014 |
| Patient Name | Mr. KRISHNA NAYEK | Contact No | 7044745736 |
| Address | MINIUS QUARTER PRABAHSNAGAR | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||