Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13498 | Date 10/09/2025 |
| Token No | SM/25-26/2155 22/09/2025 | Serial | 010 |
| Patient Name | Mr. NARAD PANDEY | Contact No | |
| Address | MANIKTALA DEY BAGAN | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||