Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09976 | Date 16/08/2023 |
| Token No | SM/22-23/11682 17/08/2023 | Serial | 002 |
| Patient Name | Mr. JAY KISHAN PASWAN | Contact No | 9073583182 |
| Address | 6D/191 S B GHOSH LANE | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||