Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06858 | Date 25/05/2024 |
| Token No | SM/25-26/1469 03/05/2025 | Serial | 006 |
| Patient Name | Mr. ROHIT SEKH | Contact No | 8509433993 |
| Address | MURSHIDABAD | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||