Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04947 | Date 24/08/2023 |
| Token No | SM/22-23/12363 26/08/2023 | Serial | 009 |
| Patient Name | Mr. DIPJAL MONDAL | Contact No | 9339897749 |
| Address | AHIRAN BASANTAPUR AJAGARPARA MURSHIDABAD 742223 | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||