Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05599 | Date 29/03/2022 |
| Token No | SM/21-22/2544 29/03/2022 | Serial | 018 |
| Patient Name | Mrs. NIBHA KUMARI | Contact No | 6200362725 |
| Address | 76 DEY STREET | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||