Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06582 | Date 18/04/2024 |
| Token No | SM/24-25/20827 18/04/2024 | Serial | 029 |
| Patient Name | Mr. SHIVANSH YADAV | Contact No | 6289759447 |
| Address | 97/N/9 PROVASNAGAR SERAMPORE712249 | Age | 5 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||