Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07050 | Date 20/06/2024 |
| Token No | SM/24-25/23376 20/06/2024 | Serial | 004 |
| Patient Name | Mr. RINTU MONDAL | Contact No | 6294022927 |
| Address | SIDHORI SUTI MURSHIDABAD 731222 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||