Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09839 | Date 29/08/2025 |
| Token No | SM/25-26/8056 15/09/2025 | Serial | 072 |
| Patient Name | Mr. MD KAYUM SEKH | Contact No | 9609534153 |
| Address | NAYA GRAM RAGHUNATHGANJ POST DEULI MURSHIDABAD 742225 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||