Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07325 | Date 02/07/2024 |
| Token No | SM/24-25/24260 02/07/2024 | Serial | 064 |
| Patient Name | Mr. BISWANATH DAS | Contact No | 7890772262 |
| Address | RAIGRAM MURSHIDABAD 742401 | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||