Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08619 | Date 29/01/2025 |
| Token No | SM/24-25/34802 29/01/2025 | Serial | 031 |
| Patient Name | Mr. MAHESHWAR MONDAL | Contact No | 8936855790 |
| Address | AHIRAN BASANTAPUR AJAGARPARA MURSHIDABAD 742223 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||