Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04121 | Date 29/04/2023 |
| Token No | SM/25-26/318 07/04/2025 | Serial | 027 |
| Patient Name | Mr. DASHRATH MONDAL | Contact No | 9836875790 |
| Address | MURSHIDABAD | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||