Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09782 | Date 20/08/2025 |
| Token No | SM/25-26/6628 20/08/2025 | Serial | 037 |
| Patient Name | Mr. MINTU SEKH | Contact No | 9088387210 |
| Address | HIJULI NADIA | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||