Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02866 | Date 12/10/2022 |
| Token No | SM/22-23/3367 12/10/2022 | Serial | 018 |
| Patient Name | Mr. MONORANJAN MONDAL | Contact No | 6282393567 |
| Address | MURSHIDABAD | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||