Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03158 | Date 01/10/2019 |
| Token No | SM/18-19/6843 01/10/2019 | Serial | 033 |
| Patient Name | Mr. AMARJEET JAISWARA | Contact No | |
| Address | Age | 38 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||