Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11905 | Date 06/08/2024 |
| Token No | SM/25-26/2425 29/10/2025 | Serial | 014 |
| Patient Name | Mr. RAUNAK BHARTI | Contact No | 7044759374 |
| Address | 1 DEY GHAT LANE | Age | 10 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||