Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10124 | Date 24/08/2023 |
| Token No | SM/22-23/11984 25/08/2023 | Serial | 026 |
| Patient Name | Mr. SUBHASH PRADHAN | Contact No | NOT GIVEN |
| Address | 12 NO. LINE | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||