Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07549 | Date 31/07/2024 |
| Token No | SM/24-25/25789 31/07/2024 | Serial | 011 |
| Patient Name | Mr. SOUMEN DAS | Contact No | 8777873726 |
| Address | 32/A MIYAJAN DARJI LANE MALLIKPARA 712203 | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||