Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09578 | Date 16/07/2025 |
| Token No | SM/25-26/4806 16/07/2025 | Serial | 063 |
| Patient Name | Mr. RAHUL KUMAR GUPTA | Contact No | 9477564029 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||