Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07352 | Date 03/07/2024 |
| Token No | SM/25-26/10615 18/11/2025 | Serial | 014 |
| Patient Name | Mr. GANESH PRASAD SHAW | Contact No | 9681052662 |
| Address | 319 S K NAGAR PRAVASHNAGAR RISHRA 712249 | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||