Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03386 | Date 05/02/2019 |
| Token No | SM/21-22/8660 07/01/2022 | Serial | 055 Last Visit: 06/06/2025 |
| Patient Name | Mr. ARUP GUIN | Contact No | 8697884274 |
| Address | 90/A BARUI PARA, CHATRA | Age | 71 Years,5 Months,4 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||