Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00589 | Date 20/12/2019 |
| Token No | SM/22-23/7553 14/03/2023 | Serial | 037 |
| Patient Name | Mr. AJOY NAYEK | Contact No | 8617213227 |
| Address | PRABASHNAGAR | Age | 37 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||