Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06261 | Date 30/06/2022 |
| Token No | SM/22-23/13292 11/11/2023 | Serial | 005 |
| Patient Name | Mr. SHANKAR RAO | Contact No | 9830498608 |
| Address | 13/A R B SARANI | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||