Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09699 | Date 20/07/2023 |
| Token No | SM/22-23/11749 18/08/2023 | Serial | 049 |
| Patient Name | Mr. RAJIB NAYEK | Contact No | 9831562280 |
| Address | BORO POST OFFICE, RAI GHAT | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||