Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14357 | Date 05/10/2024 |
| Token No | SM/24-25/37976 05/10/2024 | Serial | 006 Last Visit: 05/10/2024 |
| Patient Name | Mr. MONMOHAN SINGH | Contact No | |
| Address | 3, NATUN GRAM NITYANANDA PALLY RISHRA | Age | 27 Years,0 Months,4 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||