Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10540 | Date 26/09/2023 |
| Token No | SM/25-26/377 05/05/2025 | Serial | 036 |
| Patient Name | Mr. AARAV KR PRASAD | Contact No | 6290638460 |
| Address | 113 NO R B SARANI | Age | 12 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||