Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08399 | Date 21/02/2023 |
| Token No | SM/22-23/14974 28/02/2024 | Serial | 012 |
| Patient Name | Mr. PRITAM NAYEK | Contact No | 9474865061 |
| Address | 17 J N LAHIRI ROAD | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||