Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07274 | Date 17/10/2022 |
| Token No | SM/22-23/5962 02/11/2022 | Serial | 003 |
| Patient Name | Mr. BIKKI KUMAR SINGH | Contact No | 7980013630 |
| Address | DEY STREET | Age | 24 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||