Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05209 | Date 04/01/2022 |
| Token No | SM/21-22/1937 18/01/2022 | Serial | 017 |
| Patient Name | Mrs. SONI KUMARI | Contact No | 7549814490 |
| Address | 79 DEY STREET | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||