Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07630 | Date 14/11/2022 |
| Token No | SM/22-23/6426 17/11/2022 | Serial | 004 |
| Patient Name | Mr. VISHAL KUMAR. | Contact No | 9135876970 |
| Address | 90 RAM SITA LANE | Age | 20 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||