Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09469 | Date 16/04/2021 |
| Token No | SM/21-22/10338 28/02/2022 | Serial | 044 Last Visit: 21/07/2022 |
| Patient Name | Mr. NABAKUMAR DAS | Contact No | 9088340686 |
| Address | 501 G T ROAD BAIDYABATI CHATRA (M) | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||