Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06509 | Date 01/04/2024 |
| Token No | SM/24-25/22930 10/06/2024 | Serial | 002 |
| Patient Name | Mr. SK ABUUDDIN | Contact No | 8420677447 |
| Address | 26/A MIYAJAN DARJI LANE SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||