Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09106 | Date 18/05/2023 |
| Token No | SM/22-23/9662 18/05/2023 | Serial | 022 |
| Patient Name | Mr. SHANKAR NAYAK | Contact No | NOT GIVEN |
| Address | J N LAHIORI ROAD | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||