Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05678 | Date 17/11/2023 |
| Token No | SM/22-23/15585 17/11/2023 | Serial | 018 |
| Patient Name | Mr. JAYRAJ SINGH | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||