Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04562 | Date 21/07/2023 |
| Token No | SM/22-23/10768 21/07/2023 | Serial | 009 |
| Patient Name | Mr. NABI SK | Contact No | 7942952228 |
| Address | BHABANIPUR JIGRI KULGACHHI MURSHIDABAD | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||