Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04660 | Date 31/07/2023 |
| Token No | SM/24-25/32766 14/12/2024 | Serial | 020 |
| Patient Name | Mr. RINTU MONDAL | Contact No | 7595859292 |
| Address | SIDHORI SUTI MURSHIDABAD 731222 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||