Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09946 | Date 11/08/2023 |
| Token No | SM/22-23/11662 16/08/2023 | Serial | 035 |
| Patient Name | Mrs. SUNITA SHAW | Contact No | 8017796076 |
| Address | 390 G.T. ROAD MAHESH | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||