Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08863 | Date 10/03/2025 |
| Token No | SM/24-25/36814 12/03/2025 | Serial | 002 |
| Patient Name | Master DEV PASWAN | Contact No | 9330157789 |
| Address | 97/Z/8 PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||