Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12448 | Date 12/12/2024 |
| Token No | SM/24-25/20221 16/12/2024 | Serial | 016 |
| Patient Name | Mr. SUMAN SINGH | Contact No | 7041209379 |
| Address | 240 RAM SITA LANE | Age | 40 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||