Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07947 | Date 25/09/2024 |
| Token No | SM/24-25/28741 25/09/2024 | Serial | 049 |
| Patient Name | Mr. JAYCHAND DAS | Contact No | 7384779130 |
| Address | PANCHGACHHIA PARA SADIKPUR MURSHIDABAD 742223 | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||