Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 12192 | Date 04/10/2024 |
| Token No | SM/24-25/19168 04/10/2024 | Serial | 003 |
| Patient Name | Mr. ANANDA CHANDRA BEHERA | Contact No | NOT GIVEN |
| Address | 278 G.T.ROAD MAHESH SERAMPORE | Age | 61YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||