Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08392 | Date 14/12/2024 |
| Token No | SM/24-25/32765 14/12/2024 | Serial | 019 |
| Patient Name | Mr. JATAN MONDAL | Contact No | 8927084169 |
| Address | HOSSAINPUR SIDHORI SUTI I MURSHIDABAD 731222 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||