Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02529 | Date 22/08/2022 |
| Token No | SM/22-23/3780 26/10/2022 | Serial | 003 |
| Patient Name | Mr. RAKESH PASWAN | Contact No | 9834521452 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 14 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||