Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09463 | Date 22/06/2023 |
| Token No | SM/22-23/11745 18/08/2023 | Serial | 045 |
| Patient Name | Mrs. MINA SHAW.. | Contact No | 7239625180 |
| Address | 2 LMB STREET | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||