Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09387 | Date 23/03/2021 |
| Token No | SM/20-21/31111 23/03/2021 | Serial | 048 Last Visit: 23/03/2021 |
| Patient Name | Mr. RAHUL KR SINGH | Contact No | |
| Address | 2/47 S.S.ROAD PROVASNAGAR | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||