Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10086 | Date 22/10/2025 |
| Token No | SM/25-26/9478 24/10/2025 | Serial | 004 |
| Patient Name | Mr. NANDU KANTI | Contact No | 7070975086 |
| Address | DARBHANGA | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||