Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08768 | Date 21/02/2025 |
| Token No | SM/24-25/35962 21/02/2025 | Serial | 038 |
| Patient Name | Mr. JOYLAL MONDAL | Contact No | 6290800644 |
| Address | BASANTAPUR AHIRAN LINK ROAD AHIRAN MURSHIDABAD 742201 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||