Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04764 | Date 09/08/2023 |
| Token No | SM/22-23/12300 24/08/2023 | Serial | 055 |
| Patient Name | Mr. CHOTON MONDAL | Contact No | 9836968430 |
| Address | MURSHIDABAD | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||