Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01575 | Date 06/07/2020 |
| Token No | SM/19-20/4104 06/07/2020 | Serial | 003 |
| Patient Name | Mr. RATAN KUMAR SHARMA | Contact No | 8444067719 |
| Address | 97/Y PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||