Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 04284 | Date 08/06/2023 |
| Token No | SM/22-23/9402 09/06/2023 | Serial | 006 |
| Patient Name | Mr. MUKESH GOND | Contact No | 6290179023 |
| Address | 11 RAILAND ROAD SERAMPORE M 712248 | Age | 40 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||