Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06267 | Date 12/02/2024 |
| Token No | SM/22-23/18529 12/02/2024 | Serial | 010 |
| Patient Name | Mr. RAM BABU SAHU | Contact No | 8481881387 |
| Address | GHORAMARA EAST SERAMPORE DAKSHIB RAJYADHARPUR SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||