Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01129 | Date 05/03/2020 |
| Token No | SM/19-20/2902 06/03/2020 | Serial | 050 |
| Patient Name | Mr. MANOJ KUMAR PASWAN | Contact No | 9016417168 |
| Address | STANDER PHARMACY SERAMPORE 712203 | Age | 24 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||