Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03583 | Date 09/12/2019 |
| Token No | SM/24-25/16164 09/05/2024 | Serial | 063 |
| Patient Name | Mr. NARESH RAJBHAR | Contact No | 9330888047 |
| Address | TIN BAZAR | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||