Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10200 | Date 29/08/2023 |
| Token No | SM/22-23/12199 01/09/2023 | Serial | 035 |
| Patient Name | Mr. NANDKISHORE PRASAD | Contact No | 8420976261 |
| Address | RAMSHITA LANE | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||