Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01038 | Date 11/09/2018 |
| Token No | SM/24-25/31495 18/04/2024 | Serial | 024 Last Visit: 28/02/2025 |
| Patient Name | Mr. PANCHU GOPAL DAS | Contact No | |
| Address | BARUI PARA SHIV TALA | Age | 74 Years,0 Months,15 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||