Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02730 | Date 06/08/2019 |
| Token No | SM/24-25/21331 17/03/2025 | Serial | 004 |
| Patient Name | Mr. SAMIR ROY | Contact No | 7005896879 |
| Address | GANGULY BAGAN LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||