Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09399 | Date 16/06/2023 |
| Token No | SM/24-25/16017 29/04/2024 | Serial | 014 |
| Patient Name | Mr. SURAJ SHAH | Contact No | 9006014033 |
| Address | RAMSITA LANE | Age | 20 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||