Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08662 | Date 27/03/2023 |
| Token No | SM/24-25/19760 18/11/2024 | Serial | 001 |
| Patient Name | Mr. SRIKANTA SAMANTA | Contact No | 9100289010 |
| Address | CHHOTO BELU | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||