Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09462 | Date 16/06/2025 |
| Token No | SM/25-26/7997 15/09/2025 | Serial | 013 |
| Patient Name | Mr. KAMLESH KUMAR GUPTA | Contact No | 9748881520 |
| Address | 43/46/F/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||