Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11540 | Date 16/05/2024 |
| Token No | SM/24-25/16283 16/05/2024 | Serial | 002 |
| Patient Name | Mrs. SARITA NAYEK | Contact No | 8777459801 |
| Address | J.N. LAHIRI ROAD | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||