Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08986 | Date 28/03/2025 |
| Token No | SM/24-25/37568 28/03/2025 | Serial | 014 |
| Patient Name | Mr. PARTHIB SIL | Contact No | 9830365466 |
| Address | NATUN GRAM RISHRA M 712250 | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||