Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08502 | Date 03/03/2023 |
| Token No | SM/22-23/8420 20/03/2023 | Serial | 035 |
| Patient Name | Mr. SANTOSH TIWARY | Contact No | 8013682117 |
| Address | 18 AKHRA BATI LANE | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||