Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10088 | Date 22/10/2025 |
| Token No | SM/25-26/9476 24/10/2025 | Serial | 002 |
| Patient Name | Mr. AJAY KUMAR SHARMA | Contact No | 9062607405 |
| Address | 37/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||