Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05393 | Date 07/02/2022 |
| Token No | SM/22-23/12646 25/09/2023 | Serial | 007 |
| Patient Name | Miss SIMA METE | Contact No | 9674261549 |
| Address | 11 A B GARDEN LANE | Age | 20 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||