Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12903 | Date 23/04/2025 |
| Token No | SM/25-26/253 24/04/2025 | Serial | 016 |
| Patient Name | Master SHUBHAM GUIN | Contact No | 8910299198 |
| Address | 637 G T ROAD, KALITALA | Age | 13 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||