Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09884 | Date 03/09/2025 |
| Token No | SM/25-26/7507 04/09/2025 | Serial | 079 |
| Patient Name | Mr. HAMID SK | Contact No | 8001815083 |
| Address | BAISHNABDANGA BAHUTALI MURSHIDABAD 731222 | Age | 16 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||