Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10024 | Date 18/08/2023 |
| Token No | SM/22-23/11870 22/08/2023 | Serial | 049 |
| Patient Name | Mr. PINTU RAM | Contact No | 7044813695 |
| Address | 13 DEY GHAT LANE | Age | 26 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||