Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05689 | Date 18/04/2022 |
| Token No | SM/22-23/8876 11/04/2023 | Serial | 042 |
| Patient Name | Mr. SUMIT SHAW | Contact No | 9831345622 |
| Address | PRAVASH NAGAR | Age | 21 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||