Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12423 | Date 04/12/2024 |
| Token No | SM/24-25/20040 04/12/2024 | Serial | 006 |
| Patient Name | Mr. PRAVAT NAYEK | Contact No | 8777459801 |
| Address | JITEN LAHIRI ROAD, JAL TANK | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||