Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05248 | Date 26/09/2023 |
| Token No | SM/25-26/20659 27/08/2026 | Serial | 024 |
| Patient Name | Mr. SANTOSH KUMAR GUPTA | Contact No | 8515010024 |
| Address | 73 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 47 Years,7 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 104/69 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||