Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04668 | Date 31/07/2023 |
| Token No | SM/22-23/13555 26/09/2023 | Serial | 022 |
| Patient Name | Mr. UMAR FARUK | Contact No | 7718195564 |
| Address | BANIPUR MURSHIDABAD 742202 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||