Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05219 | Date 22/09/2023 |
| Token No | SM/22-23/13424 22/09/2023 | Serial | 045 |
| Patient Name | Mr. ASIM RABIDAS | Contact No | 9339471227 |
| Address | LALUPUR SIDHORI MURSHIDABAD 731222 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||