Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08957 | Date 03/05/2023 |
| Token No | SM/22-23/9350 03/05/2023 | Serial | 013 |
| Patient Name | Mr. UMASHANKAR NAYAK | Contact No | 9007509958 |
| Address | J N LAHIORI ROAD | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||