Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05451 | Date 17/10/2023 |
| Token No | SM/24-25/26400 10/08/2024 | Serial | 011 |
| Patient Name | Mr. AYANSH SINGH | Contact No | 8420604892 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||