Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12783 | Date 17/03/2025 |
| Token No | SM/24-25/21399 19/03/2025 | Serial | 037 |
| Patient Name | Master REHAN RAJBHAR | Contact No | 9123750538 |
| Address | 14B DEY STREET | Age | 10 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||