Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08813 | Date 01/03/2025 |
| Token No | SM/24-25/36252 01/03/2025 | Serial | 001 |
| Patient Name | Mr. KHAKAN SEKH | Contact No | 7602082089 |
| Address | SANTIPUR GAYENPARA NADIA 741404 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||