Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12087 | Date 09/09/2024 |
| Token No | SM/24-25/18747 11/09/2024 | Serial | 010 |
| Patient Name | Mr. AJAY KUMAR | Contact No | 7003083045 |
| Address | 62 RAILAND ROAD | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||