Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05449 | Date 18/02/2022 |
| Token No | SM/21-22/2246 22/02/2022 | Serial | 018 |
| Patient Name | Mr. RUPESH MAHATO | Contact No | 8910465648 |
| Address | 126 R B SARANI | Age | 26 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||