Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03625 | Date 16/12/2019 |
| Token No | SM/19-20/8125 18/12/2019 | Serial | 010 |
| Patient Name | Mr. KUNDAN SINGH | Contact No | 9123961463 |
| Address | BSNL TELEPHONE EXCHANGE | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||