Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09274 | Date 08/06/2023 |
| Token No | SM/22-23/10092 09/06/2023 | Serial | 032 |
| Patient Name | Mr. ARUN SHAW | Contact No | 8910667856 |
| Address | 55 RAILAND ROAD | Age | 27 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||