Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11832 | Date 22/07/2024 |
| Token No | SM/24-25/17678 22/07/2024 | Serial | 020 |
| Patient Name | Mr. BALARAM NAYEK | Contact No | 8777459801 |
| Address | J N L ROAD | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||