Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13204 | Date 04/07/2025 |
| Token No | SM/25-26/2986 13/12/2025 | Serial | 002 |
| Patient Name | Master AARAV KUMAR PRASAD | Contact No | 6290638460 |
| Address | 113 R.B. SARANI | Age | 12 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||