Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08653 | Date 27/03/2023 |
| Token No | SM/22-23/8558 27/03/2023 | Serial | 005 |
| Patient Name | Mr. BHIM SINGHA | Contact No | 7872809991 |
| Address | 82/19 NANDI MATH | Age | 35 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||