Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09978 | Date 16/08/2023 |
| Token No | SM/22-23/11930 23/08/2023 | Serial | 052 |
| Patient Name | Mrs. CHANDNI DEBI | Contact No | 7439161552 |
| Address | 8 RAM SITA LANE | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||