Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08764 | Date 21/02/2025 |
| Token No | SM/24-25/35930 21/02/2025 | Serial | 006 |
| Patient Name | Mr. KRISHNA SHAW | Contact No | 9831791290 |
| Address | 5 BAZAR BYE LANE SERAMPORE 712201 | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||