Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09749 | Date 13/08/2025 |
| Token No | SM/25-26/6358 14/08/2025 | Serial | 017 |
| Patient Name | Mr. LALAN YADAV | Contact No | 9883620934 |
| Address | 87/1/L PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||