Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 03739 | Date 14/01/2020 |
| Token No | SM/19-20/8407 16/01/2020 | Serial | 010 |
| Patient Name | Mr. UMESH JADAV | Contact No | 8296313224 |
| Address | MAHESH | Age | 40 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||