Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06319 | Date 20/02/2024 |
| Token No | SM/24-25/21901 14/05/2024 | Serial | 003 |
| Patient Name | Mr. VEDPRAKASH TIWARI | Contact No | 9681050960 |
| Address | 97/K/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||