Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07555 | Date 01/08/2024 |
| Token No | SM/24-25/25861 01/08/2024 | Serial | 012 |
| Patient Name | Mr. BAPI MONDAL | Contact No | 7501465766 |
| Address | BASANTAPUR AHIRAN SUTI MURSHIDABAD 742223 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||