Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05217 | Date 22/09/2023 |
| Token No | SM/24-25/33707 04/01/2025 | Serial | 053 |
| Patient Name | Mr. AJAY KUMAR NAYAK | Contact No | 8777740455 |
| Address | 37 MAHESH COLONY SERAMPORE 712201 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||