Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08094 | Date 24/10/2024 |
| Token No | SM/24-25/30398 30/10/2024 | Serial | 056 |
| Patient Name | Mr. SOHIDUL SK | Contact No | 8928308472 |
| Address | NAYAGRAM GOKULNAGAR KUSUMGACHHI MURSHIDABAD 731219 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||