Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08837 | Date 24/04/2023 |
| Token No | SM/22-23/9168 25/04/2023 | Serial | 041 |
| Patient Name | Mr. GADADHAR DAS | Contact No | 8777364290 |
| Address | 579 G.T. ROAD | Age | 53 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||