Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09658 | Date 17/07/2023 |
| Token No | SM/22-23/10963 17/07/2023 | Serial | 046 |
| Patient Name | Miss DURGA SINGH | Contact No | 6291310427 |
| Address | 15NO. KAPURIYA POHI LANE | Age | 8 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||