Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09604 | Date 12/07/2023 |
| Token No | SM/22-23/10880 13/07/2023 | Serial | 039 |
| Patient Name | Mr. DHARAMBIR CHOUDHARY | Contact No | 9804287724 |
| Address | 34 KM BHATTACCHARYA STREET | Age | 44 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||