Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12533 | Date 16/01/2025 |
| Token No | SM/25-26/1607 09/08/2025 | Serial | 003 |
| Patient Name | Mr. RANBIR SHA | Contact No | 9088586388 |
| Address | 43 BHAGIRATHI LANE | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||