Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13245 | Date 17/07/2025 |
| Token No | SM/25-26/1306 21/07/2025 | Serial | 015 |
| Patient Name | Mr. MANILAL SINGH | Contact No | 9830915913 |
| Address | 124/A1 MANIKTALA | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||