Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05543 | Date 01/11/2023 |
| Token No | SM/24-25/26315 09/08/2024 | Serial | 015 |
| Patient Name | Mr. SK NASIRUDDIN | Contact No | 9007890902 |
| Address | SHEORAPHULLY JAMIDAR ROAD BAIDYABATI M | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 135/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||