Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10642 | Date 04/10/2023 |
| Token No | SM/22-23/12959 05/10/2023 | Serial | 005 |
| Patient Name | Master NAMAN MAJHI | Contact No | 7890600740 |
| Address | LBS ROAD | Age | 4 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||