Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06660 | Date 08/08/2022 |
| Token No | SM/22-23/4388 08/08/2022 | Serial | 014 |
| Patient Name | Mr. CHHANARUL SK | Contact No | 7008954512 |
| Address | MURSHIDABAAD | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||