Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05206 | Date 21/09/2023 |
| Token No | SM/22-23/13375 21/09/2023 | Serial | 059 |
| Patient Name | Mr. SOMNATH OJHA | Contact No | 7044744490 |
| Address | 62 PROVASNAGAR SERAMPORE 712249 | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||