Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05013 | Date 31/08/2023 |
| Token No | SM/22-23/12532 31/08/2023 | Serial | 018 |
| Patient Name | Mr. JAGANNATH MONDAL | Contact No | 9693308610 |
| Address | SIDHORI MURSHIDABAD 731222 | Age | 38 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||