Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05541 | Date 01/11/2023 |
| Token No | SM/22-23/14922 01/11/2023 | Serial | 004 |
| Patient Name | Mr. PAPPU KUMAR YADAV | Contact No | 7003133166 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||