Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02561 | Date 26/08/2022 |
| Token No | SM/22-23/2721 14/09/2022 | Serial | 013 |
| Patient Name | Mr. JAGDISH PASWAN | Contact No | 9123887672 |
| Address | GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||