Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 02609 | Date 25/07/2019 |
| Token No | SM/18-19/5299 31/07/2019 | Serial | 007 |
| Patient Name | Miss PINKI SINGH.. | Contact No | NOT GIVEN |
| Address | MANIKTALA | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||