Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08157 | Date 05/11/2024 |
| Token No | SM/24-25/30671 06/11/2024 | Serial | 008 |
| Patient Name | Mr. DHARMENDRA YADAV | Contact No | 7450032362 |
| Address | 64 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||