Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05972 | Date 30/12/2023 |
| Token No | SM/22-23/17050 30/12/2023 | Serial | 002 |
| Patient Name | Mr. AJAY SINGH | Contact No | 9830187399 |
| Address | 118/3 PROVASNAGAR SERAMPORE 712249 | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||