Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11308 | Date 22/03/2024 |
| Token No | SM/25-26/1211 14/07/2025 | Serial | 015 |
| Patient Name | Mr. JOY PRAKASH PANDEY | Contact No | 9432435557 |
| Address | 51 S.P. MUKHERJEE SARANI | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||