Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13206 | Date 05/07/2025 |
| Token No | SM/25-26/1109 07/07/2025 | Serial | 013 |
| Patient Name | Mr. NANDKISHORE PRASAD | Contact No | 8240980436 |
| Address | RAM SITA LANE | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||