Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09667 | Date 18/07/2023 |
| Token No | SM/22-23/10976 18/07/2023 | Serial | 010 |
| Patient Name | Mr. SAHID NAYEK | Contact No | 8100049918 |
| Address | J.N. LAHIRI ROAD | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||