Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08772 | Date 22/02/2025 |
| Token No | SM/24-25/36024 22/02/2025 | Serial | 046 |
| Patient Name | Mr. HARI MONDAL | Contact No | 7074497428 |
| Address | BASANTAPUR AHIRAN MURSHIDABAD 747222 | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||