Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08131 | Date 06/01/2023 |
| Token No | SM/22-23/7605 31/01/2023 | Serial | 052 |
| Patient Name | Mr. SURESH KUMAR JHA | Contact No | 9163023165 |
| Address | 104 R B SARANI | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||