Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10354 | Date 09/09/2023 |
| Token No | SM/22-23/12381 09/09/2023 | Serial | 006 |
| Patient Name | Miss RIYA DIG | Contact No | 7439178567 |
| Address | 37 BHAGIRATHI LANE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||