Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04932 | Date 24/08/2023 |
| Token No | SM/22-23/12268 24/08/2023 | Serial | 023 |
| Patient Name | Mr. SHEKH BHULU | Contact No | 9681905604 |
| Address | 41 MUSALMAN PARA ROAD | Age | 37 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||