Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10181 | Date 28/08/2023 |
| Token No | SM/22-23/12055 28/08/2023 | Serial | 057 |
| Patient Name | Mr. ARUP KR NAG | Contact No | 6291914207 |
| Address | 29/B CHATRA BAZAR ROAD | Age | 22 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||