Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02581 | Date 30/08/2022 |
| Token No | SM/22-23/2359 30/08/2022 | Serial | 002 |
| Patient Name | Mr. ANKIT GUPTA | Contact No | 9883629908 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 13 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||