Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06877 | Date 02/09/2022 |
| Token No | SM/22-23/10333 19/06/2023 | Serial | 020 |
| Patient Name | Mr. SK RAJIB ALI | Contact No | 8535941605 |
| Address | MOGRA | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||