Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03581 | Date 09/01/2023 |
| Token No | SM/22-23/13536 26/09/2023 | Serial | 003 |
| Patient Name | Mr. SUFAL MONDAL | Contact No | 7584831379 |
| Address | DEULI DEULI MURSHIDABAD 742225 | Age | 28 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||