Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12012 | Date 29/08/2024 |
| Token No | SM/24-25/18544 02/09/2024 | Serial | 025 |
| Patient Name | Mr. PARAS RAJBHAR | Contact No | 9831165762 |
| Address | TIN BAZAR | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||