Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02954 | Date 10/01/2019 |
| Token No | SM/21-22/9615 07/02/2022 | Serial | 005 Last Visit: 14/12/2024 |
| Patient Name | Mr. GANESH RAM SINGH | Contact No | 8420966012 |
| Address | 1 MUSALMAN PARA ROAD SERAMPORE | Age | 58 Years,11 Months,12 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||