Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08091 | Date 24/10/2024 |
| Token No | SM/24-25/30040 24/10/2024 | Serial | 003 |
| Patient Name | Mr. MD ALI | Contact No | 9832644732 |
| Address | GOKULNAGAR LALUPUR MURSHIDABAD 731219 | Age | 40 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||