Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06187 | Date 05/02/2024 |
| Token No | SM/22-23/18210 05/02/2024 | Serial | 067 |
| Patient Name | Mr. SANJAY BEHERA | Contact No | 9163629047 |
| Address | 54 NEW MAHESH SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||