Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07899 | Date 07/12/2022 |
| Token No | SM/22-23/6893 08/12/2022 | Serial | 022 |
| Patient Name | Mr. RAM BABU SINGH | Contact No | 8981890509 |
| Address | 14C DEY STREET | Age | 26 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||