Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07436 | Date 12/07/2024 |
| Token No | SM/24-25/25157 19/07/2024 | Serial | 012 |
| Patient Name | Mrs. PUTUL DEBI PATWA | Contact No | 6291608956 |
| Address | 42 S S ROAD RISHRA M 712249 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||