Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07057 | Date 16/09/2022 |
| Token No | SM/22-23/5228 20/09/2022 | Serial | 020 |
| Patient Name | Mr. MITHILESH SINGH | Contact No | 6289369806 |
| Address | 19 TIN BAZAR | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||