Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00360 | Date 08/11/2019 |
| Token No | SM/25-26/7253 01/09/2025 | Serial | 071 |
| Patient Name | Mr. RAHUL PRAJAPATI | Contact No | 7044760984 |
| Address | 107/E/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||