Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01344 | Date 03/04/2020 |
| Token No | SM/24-25/27422 31/08/2024 | Serial | 010 |
| Patient Name | Mr. RAJESH SK | Contact No | 8910598547 |
| Address | DANGAPARA MASUNDI KARANDI MURSHIDABAD 742301 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||