Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07305 | Date 02/07/2024 |
| Token No | SM/24-25/30068 24/10/2024 | Serial | 031 |
| Patient Name | Mr. JIBAN KUMAR MANDAL | Contact No | 9836875790 |
| Address | AHIRAN BASANTAPUR AJAGARPARA MURSHIDABAD 742223 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||