Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11571 | Date 27/05/2024 |
| Token No | SM/24-25/16571 29/05/2024 | Serial | 038 |
| Patient Name | Mr. ROHIT SHARMA | Contact No | 8420167011 |
| Address | 16C KAILASH CHATTERJEE LANE | Age | 23 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||