Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04121 | Date 29/04/2023 |
| Token No | SM/25-26/22627 26/10/2026 | Serial | 017 |
| Patient Name | Mr. DASHRATH MONDAL | Contact No | 9836875790 |
| Address | MURSHIDABAD | Age | 26 Years,5 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||