Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12621 | Date 06/02/2025 |
| Token No | SM/24-25/20884 08/02/2025 | Serial | 001 |
| Patient Name | Mr. MANIK LAL ADHIKARY | Contact No | 9681441925 |
| Address | 78 TELIPARA | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||