Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08083 | Date 22/10/2024 |
| Token No | SM/24-25/29918 22/10/2024 | Serial | 091 |
| Patient Name | Mr. JAMIRUL SK | Contact No | 9733382995 |
| Address | PAROIPUR SUTI MURSHIDABAD 731222 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||