Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10049 | Date 21/08/2023 |
| Token No | SM/22-23/11861 22/08/2023 | Serial | 040 |
| Patient Name | Master KRISH KUMAR | Contact No | 9007207097 |
| Address | SIRISH TALA | Age | 6 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||