Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08305 | Date 09/02/2023 |
| Token No | SM/24-25/16304 16/05/2024 | Serial | 023 |
| Patient Name | Mrs. PARBATI NAYEK | Contact No | 9474865061 |
| Address | 17 J N LAHIRI ROAD | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||