Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10353 | Date 09/09/2023 |
| Token No | SM/22-23/12379 09/09/2023 | Serial | 004 |
| Patient Name | Mr. JITU PASWAN.. | Contact No | 6291514042 |
| Address | GURU GARDEN LANE | Age | 21 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||