Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02864 | Date 21/08/2019 |
| Token No | SM/18-19/5871 24/08/2019 | Serial | 012 |
| Patient Name | Master ANAND RAJBHOR | Contact No | 8444904288 |
| Address | 5 DOSTI LANE | Age | 18 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||