Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07415 | Date 10/07/2024 |
| Token No | SM/24-25/24821 11/07/2024 | Serial | 002 |
| Patient Name | Mr. JAYPRAKASH PANDIT | Contact No | 6291659117 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||