Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13197 | Date 03/07/2025 |
| Token No | SM/25-26/1108 07/07/2025 | Serial | 012 |
| Patient Name | Mr. ARUN KUMAR PRASAD | Contact No | 9836170635 |
| Address | 48/66 BHAGIRATHI LANE | Age | 72 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||