Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09720 | Date 21/07/2023 |
| Token No | SM/22-23/12366 08/09/2023 | Serial | 033 |
| Patient Name | Miss SAGARIKA PANDEY | Contact No | 6289295122 |
| Address | 9 NO LINE, INDIA JUTE MILL | Age | 8 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||