Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09638 | Date 17/07/2023 |
| Token No | SM/22-23/10999 18/07/2023 | Serial | 033 |
| Patient Name | Mrs. NEHA KUMARI | Contact No | 7003311681 |
| Address | 13 DEY GHAT LANE | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||