Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13466 | Date 04/09/2025 |
| Token No | SM/25-26/1891 04/09/2025 | Serial | 001 |
| Patient Name | Mr. RAMESH NAYEK | Contact No | |
| Address | J.N. LAHIRI ROAD, HARIZAN BASTI | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||