Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05203 | Date 21/09/2023 |
| Token No | SM/22-23/13372 21/09/2023 | Serial | 056 |
| Patient Name | Mr. VIJAY PRASAD | Contact No | 9363425330 |
| Address | 9/438 HINDU SCHOOL 712249 | Age | 10 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||