Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04225 | Date 31/03/2021 |
| Token No | SM/22-23/6618 24/11/2022 | Serial | 032 |
| Patient Name | Mr. SURENDRA KUMAR PASWAN | Contact No | 9163072583 |
| Address | 4 NOTUN BAGAN LANE | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||