Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01212 | Date 17/03/2020 |
| Token No | SM/19-20/3239 18/03/2020 | Serial | 041 |
| Patient Name | Mr. MITHILESH THAKUR | Contact No | |
| Address | 1 AUDDY LANE SERAMPORE 712201 | Age | 55 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||