Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12987 | Date 14/05/2025 |
| Token No | SM/25-26/474 15/05/2025 | Serial | 025 |
| Patient Name | Mr. MAHENDAR SINGH | Contact No | 7890711134 |
| Address | 17 DEY STREET | Age | 43 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||