Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08620 | Date 29/01/2025 |
| Token No | SM/24-25/34808 29/01/2025 | Serial | 037 |
| Patient Name | Mr. MADHUSUDAN MONDAL | Contact No | 7319555452 |
| Address | AHIRAN BASANTAPUR AJAGARPARA MURSHIDABAD 742223 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||