Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04940 | Date 24/08/2023 |
| Token No | SM/22-23/12340 25/08/2023 | Serial | 035 |
| Patient Name | Mr. HARU MONDAL | Contact No | 6294853956 |
| Address | BASANTAPUR AHIRAN LINK ROAD MURSHIDABAD 742234 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||