Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12691 | Date 22/02/2025 |
| Token No | SM/24-25/21114 24/02/2025 | Serial | 034 |
| Patient Name | Mr. HIMANGSHU PRASAD | Contact No | 7003150501 |
| Address | 48/66 BHAGIRATHI LANE | Age | 14 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||