Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10057 | Date 13/10/2025 |
| Token No | SM/25-26/9073 13/10/2025 | Serial | 076 |
| Patient Name | Mr. DUKHU SK | Contact No | 7864904544 |
| Address | NAYABAHADURPUR MURSHIDABAD 742223 | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||