Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09975 | Date 16/08/2023 |
| Token No | SM/22-23/11689 17/08/2023 | Serial | 009 |
| Patient Name | Mrs. MANJU HELA | Contact No | 86973022 |
| Address | NEHERU NAGAR COLONY | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||