Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09309 | Date 12/06/2023 |
| Token No | SM/22-23/10176 13/06/2023 | Serial | 038 |
| Patient Name | Mr. UTKARSH PRATAP SINGH | Contact No | 7278728045 |
| Address | 76 DEY STREET | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||