Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06155 | Date 02/02/2024 |
| Token No | SM/22-23/18087 02/02/2024 | Serial | 031 |
| Patient Name | Mr. SURAJ SK | Contact No | 8260387694 |
| Address | MURSHIDABAD | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||