Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04917 | Date 22/08/2023 |
| Token No | SM/22-23/12207 23/08/2023 | Serial | 012 |
| Patient Name | Mr. ANUP SHARMA | Contact No | 9330144396 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 26 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||