Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03702 | Date 07/01/2020 |
| Token No | SM/24-25/20435 10/01/2025 | Serial | 011 |
| Patient Name | Mr. SUMIT PAL | Contact No | 9834859780 |
| Address | JAGANNATH GHAT LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||