Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09216 | Date 05/05/2025 |
| Token No | SM/25-26/1594 05/05/2025 | Serial | 079 |
| Patient Name | Mr. PINTU SK | Contact No | 8167852903 |
| Address | KAMALPUR NIMTITA SAMSERGANJ MURSHIDABAD 742224 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||