Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09308 | Date 12/06/2023 |
| Token No | SM/22-23/10175 13/06/2023 | Serial | 037 |
| Patient Name | Mr. NISHU TIWARI | Contact No | 9163175531 |
| Address | 76 DEY STREET | Age | 28 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||