Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 10261 | Date 02/12/2025 |
| Token No | SM/25-26/11350 02/12/2025 | Serial | 012 |
| Patient Name | Mr. R SONU | Contact No | 6289096031 |
| Address | 6/19 BAISHNAV PARA 1ST LANE 7122202 | Age | 25 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||