Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11660 | Date 14/06/2024 |
| Token No | SM/24-25/16906 15/06/2024 | Serial | 001 |
| Patient Name | Mr. ANUPAM BARAL | Contact No | 8336015042 |
| Address | 4A/1 BHAGIRATHI LANE | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||