Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09482 | Date 19/06/2025 |
| Token No | SM/25-26/3997 26/06/2025 | Serial | 017 |
| Patient Name | Mr. NAIRUL SK | Contact No | 7679317084 |
| Address | NAYANDANGA BALIA MURSHIDABAD 742237 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||