Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09020 | Date 02/04/2025 |
| Token No | SM/25-26/493 09/04/2025 | Serial | 078 |
| Patient Name | Mrs. PUTUL MAHATO SAHOO | Contact No | 9163865869 |
| Address | 71 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||