Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02631 | Date 05/09/2022 |
| Token No | SM/22-23/2491 05/09/2022 | Serial | 040 |
| Patient Name | Mr. BARUN MONDAL | Contact No | 8336872138 |
| Address | MURSHIDABAD | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||