Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07614 | Date 08/08/2024 |
| Token No | SM/24-25/26301 09/08/2024 | Serial | 001 |
| Patient Name | Mr. ASHOK KUMAR SINGH | Contact No | 9830623596 |
| Address | D-1/303 SUBASHNAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||