Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06241 | Date 28/06/2022 |
| Token No | SM/22-23/8680 31/03/2023 | Serial | 030 |
| Patient Name | Mr. BISHNU PASWAN | Contact No | 8013389740 |
| Address | 20 BOSEPARA LANE | Age | 28 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||