Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04877 | Date 19/08/2023 |
| Token No | SM/22-23/12051 19/08/2023 | Serial | 021 |
| Patient Name | Mr. MADHAB MONDAL | Contact No | 7029573196 |
| Address | MURSHIDABAD | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||