Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09686 | Date 19/07/2023 |
| Token No | SM/22-23/11082 20/07/2023 | Serial | 042 |
| Patient Name | Mr. R. KUMAR | Contact No | 8282910998 |
| Address | 8/395 RAM SITA LANE | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||