Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08721 | Date 06/04/2023 |
| Token No | SM/22-23/11934 24/08/2023 | Serial | 001 |
| Patient Name | Mr. MITHILESH SINGH | Contact No | 7872960356 |
| Address | 22/R JANNAGAR ROAD | Age | 43 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||