Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08697 | Date 10/02/2025 |
| Token No | SM/24-25/35458 10/02/2025 | Serial | 029 |
| Patient Name | Mr. HASIBUL RAHMAN | Contact No | 9903232922 |
| Address | ISLAMPUR SUTI MURSHIDABAD 742201 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||