Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06950 | Date 06/06/2024 |
| Token No | SM/24-25/22813 06/06/2024 | Serial | 053 |
| Patient Name | Mr. NIMAI SAMANTA | Contact No | |
| Address | Age | 57 YRS Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||