Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05431 | Date 13/10/2023 |
| Token No | SM/24-25/20558 05/04/2024 | Serial | 004 |
| Patient Name | Mr. AMIT SINGH | Contact No | 8240404420 |
| Address | 97/C PRAVASNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||