Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11703 | Date 25/06/2024 |
| Token No | SM/24-25/17159 26/06/2024 | Serial | 013 |
| Patient Name | Mr. MURARI RAJBHAR | Contact No | NOT GIVEN |
| Address | TIN BAZAR | Age | 34 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||