Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 12191 | Date 04/10/2024 |
| Token No | SM/24-25/19167 04/10/2024 | Serial | 002 |
| Patient Name | Mr. ARUN KUMAR TANTI | Contact No | 9123729701 |
| Address | 23/53 BP 2ND LANE | Age | 32 Y Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||