Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07397 | Date 25/10/2022 |
| Token No | SM/22-23/10666 05/07/2023 | Serial | 041 |
| Patient Name | Mr. MD SAFI | Contact No | 9830771191 |
| Address | 56 N.N. RAY STREET | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||