Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10692 | Date 30/10/2023 |
| Token No | SM/22-23/13101 30/10/2023 | Serial | 017 |
| Patient Name | Mr. VANSH PRASAD | Contact No | 8961444857 |
| Address | 17 PANCHANAN TALA LANE | Age | 7 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||