Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08577 | Date 18/01/2025 |
| Token No | SM/24-25/34301 18/01/2025 | Serial | 004 |
| Patient Name | Mr. PILTUN SK | Contact No | 8327362309 |
| Address | GOKUL NAGAR,LALPUR MURSHIDABAD | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||