Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04076 | Date 24/04/2023 |
| Token No | SM/24-25/25854 01/08/2024 | Serial | 005 |
| Patient Name | Mr. DILIP MONDAL | Contact No | 8100830305 |
| Address | 704 SRIKRISHNANAGAR RISHRA M 712249 | Age | 43 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||