Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01454 | Date 18/04/2020 |
| Token No | SM/25-26/6046 07/08/2025 | Serial | 091 |
| Patient Name | Mr. JAI PRAKASH SINGH | Contact No | 8229926967 |
| Address | 97/W PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||