Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02531 | Date 23/08/2022 |
| Token No | SM/22-23/2421 02/09/2022 | Serial | 012 |
| Patient Name | Mr. RAKIJUL SEKH | Contact No | 9126738529 |
| Address | MURSHIDABAD | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||