Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10008 | Date 25/09/2025 |
| Token No | SM/25-26/8538 25/09/2025 | Serial | 043 |
| Patient Name | Mr. REHAN SK | Contact No | 9609534153 |
| Address | NAYAGRAM DEULI RAGHUNATHGANJ MURSHIDABAD 742225 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||