Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08016 | Date 23/12/2022 |
| Token No | SM/22-23/7149 23/12/2022 | Serial | 018 |
| Patient Name | Mr. SOVA RAJBHAR | Contact No | 7059677274 |
| Address | 13 LBS ROAD | Age | 64 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||