Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08766 | Date 21/02/2025 |
| Token No | SM/24-25/35932 21/02/2025 | Serial | 008 |
| Patient Name | Mr. ANSHU PODDAR | Contact No | |
| Address | Age | 15 YRS Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||