Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05135 | Date 13/09/2023 |
| Token No | SM/22-23/13067 13/09/2023 | Serial | 017 |
| Patient Name | Mr. SOMIR SK | Contact No | 6296279854 |
| Address | KHARIBONA RAGHUNATHGANJ MURSHIDABAD 742225 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||