Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06005 | Date 05/01/2024 |
| Token No | SM/22-23/17212 05/01/2024 | Serial | 006 |
| Patient Name | Master RIYANSH KUMAR | Contact No | 7003972282 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||