Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06304 | Date 19/02/2024 |
| Token No | SM/22-23/18760 19/02/2024 | Serial | 038 |
| Patient Name | Mr. SARIF ANSARI | Contact No | 7908234178 |
| Address | LAXMINAGAR SAMSERGANJ MURSHIDABAD 742202 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||