Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08139 | Date 23/04/2020 |
| Token No | SM/19-20/21504 23/04/2020 | Serial | 051 Last Visit: 04/03/2021 |
| Patient Name | Mr. MUKESH SINGH | Contact No | |
| Address | 60 PROBASNAGAR | Age | 36 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||