Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01252 | Date 20/03/2020 |
| Token No | SM/22-23/7042 24/02/2023 | Serial | 012 |
| Patient Name | Mr. SAMIRUL SEKH | Contact No | 6597692418 |
| Address | AHIRON MURSHIDABAD | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||