Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10352 | Date 09/09/2023 |
| Token No | SM/22-23/12377 09/09/2023 | Serial | 002 |
| Patient Name | Mr. RASBIHARI PANDEY | Contact No | 8777865258 |
| Address | 51 LS DC LANE | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||