Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08481 | Date 01/03/2023 |
| Token No | SM/22-23/8159 02/03/2023 | Serial | 011 |
| Patient Name | Mr. SANDIP TIWARI | Contact No | 7980358838 |
| Address | dey street | Age | 28 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||