Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12154 | Date 27/09/2024 |
| Token No | SM/24-25/19045 27/09/2024 | Serial | 004 |
| Patient Name | Mr. LAL BAHADUR CHOUHAN | Contact No | 9903119071 |
| Address | 31/A B.L.C.MILLS ROAD SERAMPORE | Age | 85YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||