Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10125 | Date 24/08/2023 |
| Token No | SM/24-25/18252 17/08/2024 | Serial | 012 |
| Patient Name | Mr. AJAY PASWAN | Contact No | 7605837230 |
| Address | PACHBABU BAZAR | Age | 40 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||