Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05198 | Date 03/01/2022 |
| Token No | SM/22-23/8410 20/03/2023 | Serial | 025 |
| Patient Name | Mr. PAPPU SHARMA | Contact No | 9007843887 |
| Address | 3B DEY STREET | Age | 34 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||