Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10664 | Date 11/10/2023 |
| Token No | SM/22-23/13013 11/10/2023 | Serial | 011 |
| Patient Name | Master NARENDRA KUMAR SINGH | Contact No | 9123325301 |
| Address | 1 LALIT MOHAN BHATTACHARYA ST | Age | 5 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||