Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07778 | Date 23/11/2022 |
| Token No | SM/22-23/11588 11/08/2023 | Serial | 035 |
| Patient Name | Miss ADITI MAL | Contact No | 9830715709 |
| Address | 25 LENIN SARANI | Age | 13 YRS Female |
| Token For | Pathology Test | Charge | Chargable |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||