Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10538 | Date 26/09/2023 |
| Token No | SM/22-23/12865 29/09/2023 | Serial | 065 |
| Patient Name | Miss RINKU PASWAN | Contact No | 9681772889 |
| Address | 21 BARAL BAGAN | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||