Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07430 | Date 28/10/2022 |
| Token No | SM/22-23/5862 28/10/2022 | Serial | 013 |
| Patient Name | Mr. SAURAV KUMAR MAJHI | Contact No | 7980923908 |
| Address | 10 CHATTERJEE LANE | Age | 33 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||