Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 13449 | Date 01/09/2025 |
| Token No | SM/25-26/1847 01/09/2025 | Serial | 047 |
| Patient Name | Mr. JWALA SINGH | Contact No | 9679308384 |
| Address | 11/95 BP 1ST LANE | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||