Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07521 | Date 25/07/2024 |
| Token No | SM/25-26/10081 07/11/2025 | Serial | 019 |
| Patient Name | Mr. APURBA MONDAL | Contact No | 6289738388 |
| Address | DAHINA HARUA MURSHIDABAD 731221 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||