Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05270 | Date 10/01/2022 |
| Token No | SM/22-23/9749 22/05/2023 | Serial | 027 |
| Patient Name | Mr. NIRMAL NATH | Contact No | 9339091309 |
| Address | JHAUTALA | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||