Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07434 | Date 12/07/2024 |
| Token No | SM/24-25/24898 12/07/2024 | Serial | 009 |
| Patient Name | Mr. PIJUSH GOSWAMI | Contact No | 7890713419 |
| Address | 43/16/2 GURU GARDEN ROAD SERAMPORE 712249 | Age | 7 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||