Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08760 | Date 21/02/2025 |
| Token No | SM/24-25/35926 21/02/2025 | Serial | 002 |
| Patient Name | Mr. ABHISHEK SINGH | Contact No | 7439198831 |
| Address | 24/1 SADGOPE PARA LANE MALLIKPARA SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||