Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00640 | Date 23/08/2018 |
| Token No | SM/22-23/12594 18/05/2022 | Serial | 033 Last Visit: 04/08/2022 |
| Patient Name | Mr. GOBINDA PATRA | Contact No | 9331557379 |
| Address | 21, CHATRA BAJAR ROAD | Age | 78 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||