Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10055 | Date 21/08/2023 |
| Token No | SM/22-23/11871 22/08/2023 | Serial | 050 |
| Patient Name | Mr. SATYA PRAKASH PASWAN | Contact No | 8100064003 |
| Address | 16 SITAL SARKAR LANE | Age | 28 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||