Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10102 | Date 28/10/2025 |
| Token No | SM/25-26/9599 28/10/2025 | Serial | 016 |
| Patient Name | Mr. HALIM SK | Contact No | 7063427286 |
| Address | SAGARDIGHI MURSHIDABAD 742226 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||