Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02630 | Date 05/09/2022 |
| Token No | SM/22-23/9958 27/06/2023 | Serial | 030 |
| Patient Name | Mr. KUSHDHBAJ MONDAL | Contact No | 6291631390 |
| Address | BASANTAPUR AHIRAN SUTI MURSHIDABAD 742223 | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||