Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10175 | Date 28/08/2023 |
| Token No | SM/22-23/12122 29/08/2023 | Serial | 055 |
| Patient Name | Master SANYAM ARORA | Contact No | 9088433187 |
| Address | 57C GT ROAD KALITALA | Age | 5 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||