Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12741 | Date 06/03/2025 |
| Token No | SM/24-25/21273 10/03/2025 | Serial | 015 |
| Patient Name | Mr. RAJA RAM | Contact No | 9874118032 |
| Address | CHOTO BELU | Age | 75 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||