Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00027 | Date 07/09/2019 |
| Token No | SM/22-23/19558 07/03/2024 | Serial | 035 |
| Patient Name | Mr. HARERAM TIWARI | Contact No | 9883670194 |
| Address | 97/K/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 79 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||