Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09249 | Date 08/05/2025 |
| Token No | SM/25-26/1832 10/05/2025 | Serial | 013 |
| Patient Name | Mr. PARESH NATH PATRA | Contact No | 9883116526 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||