Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13464 | Date 03/09/2025 |
| Token No | SM/25-26/1952 08/09/2025 | Serial | 024 |
| Patient Name | Mr. BHARAT GIRI | Contact No | 8420335499 |
| Address | RAM SITA LANE | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||