Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05594 | Date 29/03/2022 |
| Token No | SM/21-22/2577 31/03/2022 | Serial | 032 |
| Patient Name | Mr. RAKESH GUPTA | Contact No | 9831216401 |
| Address | TIN BAZAR | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||