Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10674 | Date 16/10/2023 |
| Token No | SM/22-23/13039 16/10/2023 | Serial | 006 |
| Patient Name | Mr. ALOK KUMAR YADAV | Contact No | 9088357206 |
| Address | 12 NO LINE | Age | 9 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||