Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12738 | Date 06/03/2025 |
| Token No | SM/24-25/21355 17/03/2025 | Serial | 028 |
| Patient Name | Mr. RAM NARAYAN PASI | Contact No | 7890042049 |
| Address | K.M. BHATTACHARYA STREET, JHAUTALA | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||