Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06592 | Date 20/04/2024 |
| Token No | SM/24-25/23525 22/06/2024 | Serial | 004 |
| Patient Name | Mr. SLOK YADAV | Contact No | 6289759447 |
| Address | 97/N/9 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||