Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03251 | Date 25/11/2022 |
| Token No | SM/25-26/3320 11/06/2025 | Serial | 037 |
| Patient Name | Mr. RUDRA KUMAR TIWARI | Contact No | 7044494562 |
| Address | 97/Q PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||