Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06216 | Date 08/02/2024 |
| Token No | SM/24-25/26766 17/08/2024 | Serial | 041 |
| Patient Name | Mr. AYUSH CHANDRA SHAW | Contact No | 9903530572 |
| Address | 97/F/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||