Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09898 | Date 06/09/2025 |
| Token No | SM/25-26/7638 08/09/2025 | Serial | 068 |
| Patient Name | Mr. BABUSONA MAJHI | Contact No | 6294330950 |
| Address | BANSHRA BANKUI PALITA PURBA BARDDHAMAN 713143 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||