Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08096 | Date 24/10/2024 |
| Token No | SM/24-25/30399 30/10/2024 | Serial | 057 |
| Patient Name | Mr. RAHUL MONDAL | Contact No | 7602394271 |
| Address | DAHINA HARUA SUTI 1 MURSHIDABAD 731221 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||