Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09994 | Date 22/09/2025 |
| Token No | SM/25-26/9293 16/10/2025 | Serial | 093 |
| Patient Name | Mr. ABHISHEK GUPTA | Contact No | 9163639310 |
| Address | 55/A/24 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||