Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06571 | Date 16/04/2024 |
| Token No | SM/24-25/20773 16/04/2024 | Serial | 006 |
| Patient Name | Mr. BHOLA YADAV | Contact No | 6289759447 |
| Address | 97/N/9 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 77 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||